Individual provider Active NPI

Caitlin Lennox, CCC-SLP

  • Speech-Language Pathologist
  • Los Angeles, CA
National Provider Identifier
1154710325
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
21357 Issued in CA
Practice address
1843 N Cherokee Ave
404
Los Angeles, CA 90028-4753
Phone
(732) 740-1375
NPI assigned
Jan 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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 21357 CA Primary

Addresses

Primary practice location

1843 N Cherokee Ave
404
Los Angeles, CA 90028-4753

Mailing address

1843 N Cherokee Ave
404
Los Angeles, CA 90028-4753

Other names 1

  • Caitlin Wilcox Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160201002721 NJ Practitioner - Qualified Speech Language Pathologist 1355645029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alison Tverdov PSYD LLCGroup PAC ID 3173874641, 5 clinicians

Practice addresses (Care Compare)

222 Easton Ave D
Neuro Cog Solutions
New Brunswick, NJ 08901-1750
Phone (732) 705-1441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21357CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alison Tverdov PSYD LLC CurrentSince May 9, 2024 Accepting new patients
Caitlin Lennox Speech-Language Pathologist Current Accepting new patients

Locations

222 Easton Ave
Ste D
New Brunswick, NJ 08901
Phone (732) 705-1441

Organizations & group practices 2

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": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1154710325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 N CHEROKEE AVE",
            "address_2": "404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900284753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 N CHEROKEE AVE",
            "address_2": "404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900284753",
            "telephone_number": "732-740-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNOX",
        "first_name": "CAITLIN",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "21357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "WILCOX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.