NPIMap

Organization Active NPI

KM Speech Therapy LLC

  • Speech-Language Pathologist
  • Sherman Oaks, CA
National Provider Identifier
1225898133
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
KM SPEECH THERAPY LLC
Practice address
15315 Magnolia Blvd Ste 426
Sherman Oaks, CA 91403-1177
Phone
(818) 723-4234
NPI assigned
Mar 19, 2024
Last updated
Mar 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Kristina Andrea Mellibosky, SLPNPI 1831556893
Title
SLP/Owner
Phone
(818) 723-4234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

15315 Magnolia Blvd Ste 426
Sherman Oaks, CA 91403-1177

Mailing address

25335 Via Telino
Valencia, CA 91355-2726
Phone (818) 723-4234

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1225898133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25335 VIA TELINO",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552726",
            "telephone_number": "818-723-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15315 MAGNOLIA BLVD STE 426",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031177",
            "telephone_number": "818-723-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KM SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "MELLIBOSKY",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "SLP/OWNER",
        "authorized_official_telephone_number": "818-723-4234",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.