Organization Active NPI

Mindful Speech Path

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1124852140
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MINDFUL SPEECH PATH
Practice address
6228 Fulton Ave Apt 204
Van Nuys, CA 91401-2553
Phone
(347) 720-2773
NPI assigned
Aug 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Christine Delisser, MHS-CCC-SLPNPI 1730892050
Title
Speech Language Pathologist
Phone
(347) 720-2773

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
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6228 Fulton Ave Apt 204
Van Nuys, CA 91401-2553

Mailing address

6228 Fulton Ave Apt 204
Van Nuys, CA 91401-2553
Phone (347) 720-2773

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1124852140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6228 FULTON AVE APT 204",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012553",
            "telephone_number": "347-720-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6228 FULTON AVE APT 204",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012553",
            "telephone_number": "347-720-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL SPEECH PATH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "DELISSER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "347-720-2773",
        "authorized_official_credential": "MHS-CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.