Chrystala Nikolaou, M.A.-CCC-SLP
Speech-Language Pathologist, in San Jose, CA. Individual provider (NPI-1).
NPI number1154769743
StatusActive
Last updated in NPPESNov 7, 2021
Details
- NPI
- 1154769743
- Entity type
- Individual (NPI-1)
- Name
- Chrystala Nikolaou
- Credential
- M.A.-CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2013
- Certification date
- Nov 7, 2021
- Last updated
- Nov 7, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SP18856 | CA | Yes |
Practice location
842 Jansen AveSan Jose, CA 95125-2438
Phone 424-645-7212 · Fax 408-904-4988
Mailing address
842 Jansen AveSan Jose, CA 95125-2438
Phone 424-645-7212 · Fax 408-904-4988
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 339 Speech-Language Pathologist providers in San Jose · All 25,183 providers in San Jose
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