Kidscare Therapies a Professional Speech Pathology Corporation

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

KIDSCARE THERAPIES A PROFESSIONAL SPEECH PATHOLOGY CORPORATION

Practice address

771 E Doran St
Glendale, CA 91206-2423

Phone

(949) 244-0816

NPI assigned

Nov 6, 2024

Organization subpart

No

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

Authorized official

Name

Rouzan Dishoian, MS, CCC-SLP

Title

Owner/President

Phone

(949) 244-0816

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1467275693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 E DORAN ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062423",
            "telephone_number": "949-244-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 E DORAN ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062423",
            "telephone_number": "949-244-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSCARE THERAPIES A PROFESSIONAL SPEECH PATHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "DISHOIAN",
        "authorized_official_first_name": "ROUZAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "949-244-0816",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Glendale, CA
• Providers in Glendale, 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 Nov 6, 2024; 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.