TUSTIN SPEECH THERAPY, INC (NPI# 1235532599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235532599 |
| Entity Type | Organization |
| Organization Name | TUSTIN SPEECH THERAPY, INC |
| Other Organization Name | TUSTIN SPEECH THERAPY, INC |
| Practice Address |
661 W 1st St Ste E Tustin CA 92780-2939 |
| Practice Telephone | 7148382853 |
| Mailing Telephone | 7148382853 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |
| Authorized Official Name | KYMRY FOWLER (PRESIDENT) |
| Authorized Official Telephone | 7148382853 |
| Authorized Official Credential | MS-CCC |
| Is Organization Subpart | Y |
| Parent Organization Name | TUSTIN SPEECH THERAPY, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Tustin Speech Therapy, Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306257548 | Tustin Speech Therapy, Inc | Occupational Therapy Assistant | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2014-05-09 |
| Street Address |
661 W 1ST ST STE E |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003933060 | Joanne D. Ortega | Speech-Language Pathologist | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2007-03-23 |
| 1013426493 | Robin Carter | Speech-Language Pathologist | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2017-09-28 |
| 1508385139 | Upward Bound Speech Therapy Services Inc | Speech-Language Pathologist | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2017-09-14 |
| 1760900617 | Nan Eller | Speech-Language Pathologist | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2017-08-30 |
| 1427581032 | Marina Marks | Specialist/Technologist | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2017-04-10 |
| 1174056774 | Nisma Rayan | Specialist/Technologist | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2017-04-10 |
| 1619337524 | Katherine Stapp | Behavioral Analyst | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2016-03-04 |
| 1891106266 | Richard Cao | Occupational Therapy Assistant | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2014-05-19 |
| 1306257548 | Tustin Speech Therapy, Inc | Occupational Therapy Assistant | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2014-05-09 |
| 1770839086 | Tustin Autism Services for Kids | Clinic/Center | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2012-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902177025 | Centra Pediatric Therapy | Clinic/Center | 3002 Dow Ave Ste 114, Tustin, CA 92780-7247 | 2012-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508489063 | Building Blocks Speech and Language Co. | Clinic/Center | 6508 Lonetree Blvd Ste 104, Rocklin, CA 95765-5885 | 2020-05-19 |
| 1982236683 | Sweet Speach Speech Pathology Services Inc | Clinic/Center | 639 Adams Ave, Los Banos, CA 93635-4701 | 2020-02-10 |
| 1760022115 | Sage Communication Clinic | Clinic/Center | 528 Arizona Ave Ste 317, Santa Monica, CA 90401-1440 | 2020-01-14 |
| 1548809841 | S P O T, Inc. | Clinic/Center | 20945 Devonshire St Ste 101b, Chatsworth, CA 91311-2370 | 2020-01-03 |
| 1518505155 | Cayla Kurland Speech-language Pathology, Inc. | Clinic/Center | 11669 Santa Monica Blvd Ste 206, Los Angeles, CA 90025-2992 | 2019-12-13 |
| 1902442130 | Stacy Golden | Clinic/Center | 1550 N Verdugo Rd Apt 37, Glendale, CA 91208-2834 | 2019-11-22 |
| 1265077762 | Rja Enterprises, Inc. | Clinic/Center | 44725 10th St W Ste 260, Lancaster, CA 93534-3049 | 2019-11-08 |
| 1710521414 | Rise Physical Therapy and Pilates Inc. | Clinic/Center | 1550 Parkside Dr, Walnut Creek, CA 94596-3515 | 2019-11-05 |
| 1376184267 | Salient Sound Audiology, Inc. | Clinic/Center | 7759 Herschel Ave Ste B, La Jolla, CA 92037-4478 | 2019-10-02 |
| 1467008581 | Sgv Hearing Aids LLC | Clinic/Center | 6751 Washington Ave, Whittier, CA 90601-4309 | 2019-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.