TUSTIN SPEECH THERAPY, INC (NPI# 1306257548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306257548 |
| Entity Type | Organization |
| 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 | 2014-05-09 |
| Last Update Date | 2014-05-09 |
| Authorized Official Name | MRS. KYMRY HART FOWLER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7148382853 |
| Authorized Official Credential | MS-CCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | 2634 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 722 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
722 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
655 | CA | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 17425 | CA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 0050430 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235532599 | Tustin Speech Therapy, Inc | Clinic/Center | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2014-10-01 |
| 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 |
| 1235532599 | Tustin Speech Therapy, Inc | Clinic/Center | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2014-10-01 |
| 1891106266 | Richard Cao | Occupational Therapy Assistant | 661 W 1st St Ste E, Tustin, CA 92780-2939 | 2014-05-19 |
| 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 | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972153096 | Sneha Mistry | Speech-Language Pathologist | 13127 Arborwalk Ln, Tustin, CA 92782-8040 | 2019-09-19 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1669915815 | Carrie Wada | Speech-Language Pathologist | 17842 Irvine Blvd Ste 118, Tustin, CA 92780-3243 | 2016-11-21 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| 1801285010 | Maureen Van Der Heyden | Speech-Language Pathologist | 13067 Arborwalk Ln, Tustin, CA 92782-8042 | 2015-01-12 |
| 1902215858 | Elise Pfotenhauer | Speech-Language Pathologist | 17291 Irvine Blvd,, Suite 325, Tustin, CA 92780 | 2014-08-05 |
| 1467861393 | Tori Parsel | Speech-Language Pathologist | 17291 Irvine Blvd.,suite 325, Tustin, CA 92780 | 2014-08-05 |
| 1174932024 | Cindy Castelazo | Speech-Language Pathologist | 17291 Irvine Blvd, Suite 325, Tustin, CA 92780 | 2014-08-05 |
| 1538583893 | Jamie Keller | Speech-Language Pathologist | 1826 Blueberry Way, Tustin, CA 92780-3907 | 2014-02-07 |
| 1598002727 | David S Cho | Speech-Language Pathologist | 2286 Aspen St, Tustin, CA 92782-8343 | 2013-01-08 |
| Find all providers in TUSTIN | ||||
Please comment or provide details below to improve the information on TUSTIN SPEECH THERAPY, INC.
| 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.