Jane Haddad Stuart, MA, CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 9815 Issued in CA

Practice address

190 Park Ave
Long Beach, CA 90803-3153

Phone

(562) 439-6244

Fax

(562) 438-6244

NPI assigned

Jun 18, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jane Haddad Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Jane Haddad

  • Speech-Language Pathologist
  • Long Beach, CA
  • NPI 1366775306
  NPD Authorized official

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1215198767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 ISLAND RD",
            "city": "KINTNERSVILLE",
            "state": "PA",
            "postal_code": "189309764",
            "telephone_number": "562-208-5048",
            "fax_number": "610-847-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 PARK AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908033153",
            "telephone_number": "562-439-6244",
            "fax_number": "562-438-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "JANE",
        "middle_name": "HADDAD",
        "name_prefix": "Ms.",
        "credential": "MA, CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 9815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "HADDAD",
            "prefix": "MS.",
            "credential": "MA, CCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cossetta Ruby Stroud
• Shantall Lisette Strozier, DNAP CRNA
• Paul Anthony Struett, D.C.
• Stuart L Zubrick Marriage Family and Child Counseling, a Prof Corp
• Elizabeth M Stuart, PHD
• Teresa Ann Stubsten, LCSW
• Kayla Lauren Studach, PA
• Aubrey Studebaker, LMFT
• Richard Thomas Stuelpnagel, PT
• Harris R Stutman, MD

• Speech-Language Pathologist in Long Beach, CA
• Providers in Long Beach, 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 Mar 6, 2023; 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.