OrganizationActive
Communication Blooms Speech Therapy Inc.
NPI 1689445231 · Speech-Language Pathologist · Lodi, CA
Provider details
- NPI number
- 1689445231
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Mackenzie Shiba, Owner/Slp(209) 242-4606
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1812 W Kettleman Ln Ste 1
Lodi, CA 95242-4209
Phone: (209) 242-4606
Street-level locationGet directions
Mailing address
16966 E Front St
Linden, CA 95236-9751
Registry dates
- Enumerated
- 2024-01-12
- Last updated
- 2026-05-11
- Certified
- 2026-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.