1942463823 NPI number — SPEECHRIGHTER, INC.

Table of content: (NPI 1942463823)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942463823 NPI number — SPEECHRIGHTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPEECHRIGHTER, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942463823
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/08/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
820 BAY AVE
Provider Second Line Business Mailing Address:
SUITE 212
Provider Business Mailing Address City Name:
CAPITOLA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
831-854-2060
Provider Business Mailing Address Fax Number:
408-604-0214

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
820 BAY AVE
Provider Second Line Business Practice Location Address:
SUITE 212
Provider Business Practice Location Address City Name:
CAPITOLA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-854-2060
Provider Business Practice Location Address Fax Number:
408-604-0214
Provider Enumeration Date:
07/09/2008

Additional Information

Authorized Official

Authorized Official Last Name:
COLIP
Authorized Official First Name:
CRISTIENNE
Authorized Official Middle Name:
Authorized Official Title or Position:
CLINICAL DIRECTOR/OWNER
Authorized Official Telephone Number:
831-854-2060

Provider Taxonomy Codes

  • Taxonomy code: 225XP0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1629444195 . This is a "OT" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1184869687 . This is a "LCSW" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 1750784757 . This is a "LCSW" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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