SUSIE NAM MS, CCC-SLP
NPI 1104399203
Speech-Language Pathologist in Encinitas, CA

Q: What is Susie Nam's NPI number?

The NPI number for Susie Nam is 1104399203. It was assigned to this individual provider in the NPPES registry on January 10, 2019.

Q: What is Susie Nam's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Susie Nam was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 10, 2019Accepts Medicare Assignment

1092 N EL CAMINO REAL, ENCINITAS, CA 92024(760) 633-6507 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2024, Nov 7, 2021, Jan 10, 2019 (3 updates tracked since 2019).

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About Susie Nam Ms, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSIE NAM MS, CCC-SLP (NPI 1104399203) is an individual speech-language pathologist provider in Encinitas, California, licensed in California (27305) and active in the NPI registry since January 2019. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1104399203

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSUSIE NAMCredential: MS, CCC-SLP

Location Address1092 N EL CAMINO REALEncinitas, CA 92024-1367

Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (760) 633-6507

Phone(760) 633-6507

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 10, 2019

Last NPPES UpdateDecember 27, 20243 updates tracked since enumeration

NPPES CertifiedDecember 27, 2024

✔ NPI 1104399203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in CA · 27305

Definition

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.

1092 N EL CAMINO REAL, Encinitas, CA 92024

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susie Nam Ms, Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204363401

PECOS Enrollment IDI20241230003171

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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