Active NPI
Maureen Bridget Hall-Katz, M.A., CCC-SLP
- Speech-Language Pathologist
- Fullerton, CA
National Provider Identifier
1235864471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP5905
- Practice address
- 1440 N. Harbor Blvd Suite 800
Fullerton, CA 92835 - Phone
- (714) 686-4627
- Fax
- (866) 440-4397
- NPI assigned
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP5905 | CA | Primary |
Addresses
Primary practice location
1440 N. Harbor Blvd Suite 800
Fullerton, CA 92835
Mailing address
1440 N. Harbor Blvd Suite 800
Fullerton, CA 92835
Phone (714) 686-4627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220926003530 | CA | Practitioner - Qualified Speech Language Pathologist | 9537545793 | Practice locations: Fullerton, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1440 N Harbor Blvd
Suite 800
Fullerton, CA 92835-4121
Phone (714) 600-6955
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP5905 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tone Physical Therapy and Rehab | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
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- Physical Therapist
- Corona, CA
- NPI 1063933117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1235864471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 N. HARBOR BLVD SUITE 800",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92835",
"telephone_number": "714-686-4627",
"fax_number": "866-440-4397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 N. HARBOR BLVD SUITE 800",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92835",
"telephone_number": "714-686-4627",
"fax_number": "866-440-4397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL-KATZ",
"first_name": "MAUREEN",
"middle_name": "BRIDGET",
"name_prefix": "Ms.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-21",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP5905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.