NPIMap

Organization Active NPI

Sprout Speech and Language Pathology, Inc.

  • Speech-Language Pathologist
  • Studio City, CA
National Provider Identifier
1083122170
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
16130 Issued in CA
Legal business name
SPROUT SPEECH AND LANGUAGE PATHOLOGY, INC.
Practice address
4329 Gentry Ave
Studio City, CA 91604-1706
Phone
(818) 209-0427
NPI assigned
Jan 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Authorized official

Name
Sherri ElkaimNPI 1740555689
Title
Owner
Phone
(818) 209-0427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 16130 CA Primary

Addresses

Primary practice location

4329 Gentry Ave
Studio City, CA 91604-1706

Mailing address

4329 Gentry Ave
Studio City, CA 91604-1706

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1083122170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4329 GENTRY AVE",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4329 GENTRY AVE",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041706",
            "telephone_number": "818-209-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT SPEECH AND LANGUAGE PATHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "ELKAIM",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-209-0427"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "16130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.