Organization Active NPI

Reisha Golden CCC-SLP

  • Speech-Language Pathologist
  • Long Beach, CA
National Provider Identifier
1306298773
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
23664 Issued in CA
Legal business name
REISHA GOLDEN CCC-SLP
Practice address
4401 Atlantic Ave Ste 200
Long Beach, CA 90807-2264
Phone
(714) 614-1316
NPI assigned
Jul 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Ms. Reisha Golden, SLPNPI 1073904967
Title
Owner
Phone
(714) 614-1316

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 23664 CA Primary

Addresses

Primary practice location

4401 Atlantic Ave Ste 200
Long Beach, CA 90807-2264

Mailing address

4401 Atlantic Ave Ste 200
Long Beach, CA 90807-2264
Phone (714) 614-1316

Other practice location 1

6031 E Oakbrook St
Long Beach, CA 90815-2226
Phone (562) 377-0959

Other names 1

  • Center for Therapy: Speech-Language-Pathology Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1306298773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 ATLANTIC AVE STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072264",
            "telephone_number": "714-614-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 ATLANTIC AVE STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072264",
            "telephone_number": "714-614-1316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6031 E Oakbrook St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908152226",
            "country_code": "US",
            "telephone_number": "562-377-0959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REISHA GOLDEN CCC-SLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "REISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-614-1316",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "23664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Therapy: Speech-Language-Pathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.