Individual provider Active NPI

Caitlyn Odunuga, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Brentwood, CA
National Provider Identifier
1972239069
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14116 Issued in CA
Practice address
654 3Rd St
Brentwood, CA 94513-1357
Phone
(925) 230-5171
NPI assigned
Jul 29, 2022
Last updated
Jul 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14116 CA Primary

Addresses

Primary practice location

654 3Rd St
Brentwood, CA 94513-1357

Mailing address

2420 Sand Creek Rd # 284
Brentwood, CA 94513-2707
Phone (925) 230-5171

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@infinityspottherapies.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
14116CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Spot Therapies CurrentSince Jul 31, 2022 Accepting new patients

Locations

2420 Sand Creek Rd
#284
Brentwood, CA 94513

654 3rd St
Brentwood, CA 94513
Phone (925) 230-5171

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1972239069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 SAND CREEK RD # 284",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132707",
            "telephone_number": "925-230-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 3RD ST",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131357",
            "telephone_number": "925-230-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUNUGA",
        "first_name": "CAITLYN",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "14116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@infinityspottherapies.com",
            "affiliation": "N",
            "address_1": "654 3rd St",
            "city": "Brentwood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945131357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.