Organization Active NPI

The Speech & Language Group, Inc.

  • Speech-Language Pathologist
  • Los Angeles, CA
National Provider Identifier
1346487089
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11518 Issued in CA
Legal business name
THE SPEECH & LANGUAGE GROUP, INC.
Practice address
1930 Wilshire Blvd Ste 904
Los Angeles, CA 90057-3619
Phone
(213) 353-9019
Fax
(213) 353-0336
NPI assigned
Jan 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Mrs. Nicole Renee Vigil-Olsin, MA, CCC-SLPNPI 1396982054
Title
President
Phone
(213) 353-9019

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
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 11518 CA Primary

Addresses

Primary practice location

1930 Wilshire Blvd Ste 904
Los Angeles, CA 90057-3619

Mailing address

1930 Wilshire Blvd Ste 904
Los Angeles, CA 90057-3619
Phone (213) 353-9019

National Provider Directory

National Provider Directory

Locations

1930 Wilshire Blvd
Ste 904
Los Angeles, CA 90057
Phone (213) 353-0336

Practitioners & affiliated clinicians

Practitioners 3

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": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1346487089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 WILSHIRE BLVD STE 904",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573619",
            "telephone_number": "213-353-9019",
            "fax_number": "213-353-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 WILSHIRE BLVD STE 904",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573619",
            "telephone_number": "213-353-9019",
            "fax_number": "213-353-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPEECH & LANGUAGE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "VIGIL-OLSIN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-353-9019",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "11518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

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

Verify at the official NPI Registry.