Individual provider Active NPI

Haylie Medoff

  • Speech-Language Assistant
  • Camarillo, CA
National Provider Identifier
1174990014
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA9599 Issued in AZ
Practice address
1000 Paseo Camarillo Ste 108
Camarillo, CA 93010-0747
Phone
(805) 504-2200
NPI assigned
Aug 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA9599 AZ Primary

Addresses

Primary practice location

1000 Paseo Camarillo Ste 108
Camarillo, CA 93010-0747

Mailing address

1592 Charterwood CT
Thousand Oaks, CA 91362-2778
Phone (412) 576-6500

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

State licenses

LicenseStateTypeSpecialty
SLPA9599AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baio Enterprises Inc PastSince Sep 1, 2018 Accepting new patients
Baio Enterprises Past Accepting new patients
Justine Sherman & Assoc Inc Speech-Language Assistant PastSince Aug 17, 2025 Accepting new patients

Organizations & group practices 3

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": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1174990014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1592 CHARTERWOOD CT",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622778",
            "telephone_number": "412-576-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PASEO CAMARILLO STE 108",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930100747",
            "telephone_number": "805-504-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDOFF",
        "first_name": "HAYLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2025-07-25",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA9599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.