Reham Madbouly

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

9419 Spectrum
Irvine, CA 92618-3422

Phone

(732) 668-4779

NPI assigned

Aug 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1144053885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9419 SPECTRUM",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9419 SPECTRUM",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183422",
            "telephone_number": "732-668-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADBOULY",
        "first_name": "REHAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neyda Macias
• Kimberly M. Maclean, PT, DPT
• Maureen Macleod
• Madeline Macmillin, PSY.D.
• Arib Lulu Madani
• Arpie Madenlian, RD
• Mackenzie Mader
• Xenia C Madera, PHARMD
• Ruta Patel Madhav
• William Mading, MD

• Speech-Language Pathologist in Irvine, CA
• Providers in Irvine, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.