Jodie Victor, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

27664 Issued in CA

Practice address

21515 Hawthorne Blvd Ste GL-100
Torrance, CA 90503-6501

Phone

(424) 571-2618

NPI assigned

Jul 24, 2014

Last updated

Jan 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4

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.

• Cortica Behavioral Health Inc

  • Neurology with Special Qualifications in Child Neurology Physician
  • San Diego, CA
  • NPI 1528587250
  NPD (past)
• Cortica Healthcare Inc

  dba Pediatric Neurology Therapeutics PC

  • Health Service Clinic/Center
  • San Diego, CA
  • NPI 1801288535
  NPD (past)
• Cortica Developmental Therapies PA

  • Multi-Specialty Clinic/Center
  • Plano, TX
  • NPI 1619554680
  NPD (past)

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1417365248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21515 HAWTHORNE BLVD STE GL-100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21515 HAWTHORNE BLVD STE GL-100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036501",
            "telephone_number": "424-571-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "JODIE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008450",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "27664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernice Verzosa
• Katherine Vicario
• Lelalee C. Vicedo
• Kaitlin Marisa Vick, MD
• Freesia Vickman
• Victoria Shin MD Inc
• Jeff Victoroff, M.D.
• Evan Vidal, DO
• Shaun Vidal, DPT
• Karla Chantel Viera

• Speech-Language Pathologist in Torrance, CA
• Providers in Torrance, 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 Jan 23, 2025; 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.