NPIMap

Organization Active NPI

McRory Pediatric Services

  • Speech-Language Pathologist
  • Encino, CA
National Provider Identifier
1366701542
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP16440 Issued in CA
Legal business name
MCRORY PEDIATRIC SERVICES
Practice address
17609 Ventura Blvd
215
Encino, CA 91316-3858
Phone
(818) 501-8352
Fax
(818) 501-8325
NPI assigned
May 9, 2012
Last updated
May 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Michael McRory, MBA
Title
Chief Executive Officer
Phone
(818) 501-8352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP16440 CA Primary

Addresses

Primary practice location

17609 Ventura Blvd
215
Encino, CA 91316-3858

Mailing address

17609 Ventura Blvd
215
Encino, CA 91316-3858
Phone (818) 501-8352

National Provider Directory

National Provider Directory
Tax ID family
McRory Pediatric Services Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1366701542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD",
            "address_2": "215",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163858",
            "telephone_number": "818-501-8352",
            "fax_number": "818-501-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD",
            "address_2": "215",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163858",
            "telephone_number": "818-501-8352",
            "fax_number": "818-501-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCRORY PEDIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "MCRORY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF  EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "818-501-8352",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP16440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.