Active NPI
Easy Speech Pathology, Inc.
- Multi-Specialty Clinic/Center
- Palm Desert, CA
National Provider Identifier
1124434261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- EASY SPEECH PATHOLOGY, INC.
- Practice address
- 75100 Mediterranean
Palm Desert, CA 92211-9069 - Phone
- (760) 837-0033
- Fax
- (760) 837-1013
- NPI assigned
- Jul 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashlyn Champagne, MCD, CCC-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Ensemble Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
1007 E Cooley Dr
Ste 107
Colton, CA 92324
Phone (760) 837-0033
75100 Mediterranean
Palm Desert, CA 92211
Phone (760) 340-9832
41555 Cook St
Ste 100
Palm Desert, CA 92211
Phone (760) 837-0033
Practitioners & affiliated clinicians
Practitioners 80
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": "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.