Shereen Green

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP19276 Issued in CA

Practice address

44818 Fern Ave Ste 104
Lancaster, CA 93534-3153

Phone

(661) 349-6292

NPI assigned

Dec 20, 2013

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Small Talk Therapy, Inc.

  • Hearing and Speech Clinic/Center
  • Lancaster, CA
  • NPI 1942666912
  Medicare reassignment

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1275954075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5448",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935395448",
            "telephone_number": "661-349-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44818 FERN AVE STE 104",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343153",
            "telephone_number": "661-349-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SHEREEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP19276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Letha Grayson, PSY.D , LADAC
• Denise Green
• Jewellius Orryon Green
• Lajuan Green, LVN
• Raquel N Green, NP
• Eileen Greenberg
• Michael Greene
• Stephen R Greene, M.D.
• Lessie Greer-Casey
• Russell M. Greif, D.O.

• Speech-Language Pathologist in Lancaster, CA
• Providers in Lancaster, 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 Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.