Active NPI
Meredith T Marcus, M.S., CCC-SLP
- Speech-Language Pathologist
- Canoga Park, CA
National Provider Identifier
1245549294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- A9622739
- Practice address
- 2208 Sherman Way
Suite #206
Canoga Park, CA 91303 - Phone
- (818) 884-5103
- Fax
- (818) 884-5369
- NPI assigned
- Sep 24, 2010
- 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 | A9622739 | CA | Primary |
Addresses
Primary practice location
2208 Sherman Way
Suite #206
Canoga Park, CA 91303
Mailing address
20243 Londelius St
Winnetka, CA 91306-1132
Phone (562) 522-0111
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A9622739 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285286400000",
"number": "1245549294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20243 LONDELIUS ST",
"city": "WINNETKA",
"state": "CA",
"postal_code": "913061132",
"telephone_number": "562-522-0111",
"fax_number": "818-882-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2208 SHERMAN WAY",
"address_2": "SUITE #206",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "91303",
"telephone_number": "818-884-5103",
"fax_number": "818-884-5369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "MEREDITH",
"middle_name": "T",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-24",
"last_updated": "2010-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "A9622739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.