Phillip Watts Hewitt, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

RPE 9416 Issued in CA

Practice address

5761 Buckingham Pkwy
Culver City, CA 90230-6515

Phone

(310) 649-6199

NPI assigned

Oct 13, 2014

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Minds Matter, LLC

  • Occupational Therapist
  • Mission, KS
  • NPI 1679617955
  NPD
• Los Angeles Speech and Language Therapy Center Inc

  • Speech-Language Pathologist
  • Culver City, CA
  • NPI 1386975233
  NPD (past)

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1326442807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5761 BUCKINGHAM PKWY",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306515",
            "telephone_number": "310-649-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5761 BUCKINGHAM PKWY",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306515",
            "telephone_number": "310-649-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWITT",
        "first_name": "PHILLIP",
        "middle_name": "WATTS",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "RPE 9416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Herrera
• Juan Jose Herrera, PTA
• Karen Herrera
• Ashlyn Herrian
• Rob Herrington
• Ashley Hickey
• Brittiany Hicks
• Hailey Elizabeth Hicks
• Justin John Hicks
• Bonn Demetrio Miso Hidalgo III

• Speech-Language Pathologist in Culver City, CA
• Providers in Culver City, 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 Oct 13, 2014; 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.