NPIMap

Organization Active NPI

Easy Speech Pathology, Inc.

Doing business as Easy Speech Therapy Center

  • Multi-Specialty Clinic/Center
  • Palm Desert, CA
National Provider Identifier
1124434261
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
EASY SPEECH PATHOLOGY, INC.
Doing business as
Easy Speech Therapy Center
Ensemble Therapy
Practice address
75100 Mediterranean
Palm Desert, CA 92211-9069
Phone
(760) 837-0033
Fax
(760) 837-1013
NPI assigned
Jul 9, 2014
Last updated
Oct 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Ashlyn Champagne, MCD, CCC-SLPNPI 1083126429
Title
President/Clinical Director
Phone
(442) 282-6695

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

75100 Mediterranean
Palm Desert, CA 92211-9069

Mailing address

75100 Mediterranean
Palm Desert, CA 92211-9069
Phone (760) 837-0033

Other practice location 1

1007 E Cooley Dr Ste 107
Colton, CA 92324-3901
Phone (760) 837-0033

Other names 2

  • Easy Speech Therapy Center Doing business as
  • Ensemble Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160809002788 CA Part B Supplier - Clinic/Group Practice 2163716457 Receives reassigned benefits from 38 practitioners
Practice locations: Colton, CA; Palm Desert, CA

National Provider Directory

National Provider Directory

Locations

1007 E Cooley Dr
Ste 107
Colton, CA 92324
Phone (760) 837-0033

41555 Cook St
Ste 100
Palm Desert, CA 92211
Phone (760) 837-0033

75100 Mediterranean
Palm Desert, CA 92211
Phone (760) 340-9832

Practitioners & affiliated clinicians

Practitioners 80

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.

View all 80

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1124434261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75100 MEDITERRANEAN",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922119069",
            "telephone_number": "760-837-0033",
            "fax_number": "760-837-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75100 MEDITERRANEAN",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922119069",
            "telephone_number": "760-837-0033",
            "fax_number": "760-837-1013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 E Cooley Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923243901",
            "country_code": "US",
            "telephone_number": "760-837-0033",
            "fax_number": "760-837-1013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EASY SPEECH PATHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE",
        "authorized_official_first_name": "ASHLYN",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "442-282-6695",
        "authorized_official_credential": "MCD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easy Speech Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ensemble Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.