Andi Docktor, MA, CCC-SLP
NPI 1073150801ActiveIndividual· Speech-Language Pathologist· San Diego, CA
Speech-Language Pathologist (MA, CCC-SLP) with Regents of the University of California, practicing in San Diego, California. Medicare paid $14,325 for services to 70 patients in 2024.
Overview
| NPI | 1073150801 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, CCC-SLP |
| Sole proprietor | No |
| NPI issued | Nov 27, 2019 |
| Last updated in NPPES | Nov 27, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 26061 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 70 |
|---|---|
| Services billed | 191 across 8 procedure codes |
| Paid by Medicare | $14,325 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
| Telehealth | Offers telehealth |
Medical group
- Regents of the University of CaliforniaSan Diego, CA · 2,089 clinicians
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