Organization Active NPI

Vital Speech and Swallow Speech Therapy, Inc

  • Speech-Language Pathologist
  • Woodland Hills, CA
National Provider Identifier
1336461383
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
CCC9644 Issued in CA
Legal business name
VITAL SPEECH AND SWALLOW SPEECH THERAPY, INC
Practice address
20720 Ventura Blvd Ste 260
Woodland Hills, CA 91364-6261
Phone
(818) 708-7704
Fax
(818) 708-7707
NPI assigned
Feb 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Ms. Natalie Zhitnitsky, SLPNPI 1699932004
Title
Owner
Phone
(818) 708-7704

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G62697 CA
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X CCC9644 CA Primary

Addresses

Primary practice location

20720 Ventura Blvd Ste 260
Woodland Hills, CA 91364-6261

Mailing address

20720 Ventura Blvd Ste 260
Woodland Hills, CA 91364-6261
Phone (818) 708-7704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100728000480 CA Part B Supplier - Clinic/Group Practice 9436282464 Receives reassigned benefits from 1 practitioner
Practice locations: Woodland Hills, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1336461383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20720 VENTURA BLVD STE 260",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646261",
            "telephone_number": "818-708-7704",
            "fax_number": "818-708-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20720 VENTURA BLVD STE 260",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646261",
            "telephone_number": "818-708-7704",
            "fax_number": "818-708-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SPEECH AND SWALLOW SPEECH THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2023-07-25",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "ZHITNITSKY",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-708-7704",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G62697",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "CCC9644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.