Active NPI
Lara B Haddad, M.S., CCC-SLP
- Speech-Language Pathologist
- Calabasas, CA
National Provider Identifier
1447589320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9327
- Practice address
- 26560 Agoura Rd
#110-B
Calabasas, CA 91302-1926 - Phone
- (818) 880-1260
- NPI assigned
- Dec 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9327 | CA | Primary |
Addresses
Primary practice location
26560 Agoura Rd
#110-B
Calabasas, CA 91302-1926
Mailing address
6206 Newcastle Ave
Encino, CA 91316-7121
Phone (818) 344-0679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kolchins/Thomas Infant Development Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Calabasas, CA
- NPI 1255654687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261526400000",
"number": "1447589320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6206 NEWCASTLE AVE",
"city": "ENCINO",
"state": "CA",
"postal_code": "913167121",
"telephone_number": "818-344-0679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26560 AGOURA RD",
"address_2": "#110-B",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021926",
"telephone_number": "818-880-1260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDAD",
"first_name": "LARA",
"middle_name": "B",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-23",
"last_updated": "2009-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "9327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calabasas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.