NPIMap

Organization Active NPI

Speech Source Therapy, Inc

  • Speech-Language Pathologist
  • Encino, CA
National Provider Identifier
1063963064
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH SOURCE THERAPY, INC
Practice address
15720 Ventura Blvd Ste 503
Encino, CA 91436-4713
Phone
(818) 788-4121
NPI assigned
Oct 14, 2016
Last updated
Apr 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Heidi HarpazNPI 1124180047
Title
Owner / Director
Phone
(818) 788-4121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Pediatric Physical Therapist 2251P0200X
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

15720 Ventura Blvd Ste 503
Encino, CA 91436-4713

Mailing address

15720 Ventura Blvd Ste 503
Encino, CA 91436-4713
Phone (818) 788-4121

National Provider Directory

National Provider Directory

Locations

15720 Ventura Blvd
Ste 503
Encino, CA 91436
Phone (818) 788-4121

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1063963064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 503",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364713",
            "telephone_number": "818-788-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 503",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364713",
            "telephone_number": "818-788-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH SOURCE THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "HARPAZ",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER / DIRECTOR",
        "authorized_official_telephone_number": "818-788-4121",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.