Individual provider Active NPI

Tamar Lior Massen, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Pasadena, CA
National Provider Identifier
1144620451
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP26876 Issued in CA
Practice address
200 E del Mar Blvd Ste 112
Pasadena, CA 91105
Phone
(626) 564-2700
Fax
(626) 564-2770
NPI assigned
Aug 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP26876 CA Primary

Addresses

Primary practice location

200 E del Mar Blvd Ste 112
Pasadena, CA 91105

Mailing address

200 E del Mar Blvd Ste 112
Pasadena, CA 91105-2552
Phone (626) 564-2700

Other practice location 1

3703 W Lake Ave
Suite 200
Glenview, IL 60026-1223
Phone (847) 998-1188

Other practice location 2

3703 W Lake Ave
Suite 200
Glenview, IL 60026-1223
Phone (847) 998-1188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP26876CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Developing Kids Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1144620451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E DEL MAR BLVD STE 112",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052552",
            "telephone_number": "626-564-2700",
            "fax_number": "626-564-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E DEL MAR BLVD STE 112",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91105",
            "telephone_number": "626-564-2700",
            "fax_number": "626-564-2770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3703 W Lake Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600261223",
            "country_code": "US",
            "telephone_number": "847-998-1188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3703 W Lake Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600261223",
            "country_code": "US",
            "telephone_number": "847-998-1188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSEN",
        "first_name": "TAMAR",
        "middle_name": "LIOR",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP26876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.