Organization Active NPI

Neurozone Inc.

  • Speech-Language Pathologist
  • Culver City, CA
National Provider Identifier
1477937498
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10919 Issued in CA
Legal business name
NEUROZONE INC.
Practice address
12063 Jefferson Blvd # a
Culver City, CA 90230-6219
Phone
(310) 821-3640
Fax
(310) 526-3438
NPI assigned
Jul 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Erin D Kayem, M.S.,CCC-SLPNPI 1639466154
Title
Owner/Executive Director
Phone
(310) 598-1820

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 11010 CA
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 10919 CA Primary

Addresses

Primary practice location

12063 Jefferson Blvd # a
Culver City, CA 90230-6219

Mailing address

12063 Jefferson Blvd # a
Culver City, CA 90230-6219
Phone (310) 821-3640

National Provider Directory

National Provider Directory

Locations

8055 W Manchester Ave
Ste 705
Playa del Rey, CA 90293

Practitioners & affiliated clinicians

Practitioners 1

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": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1477937498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12063 JEFFERSON BLVD # A",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306219",
            "telephone_number": "310-821-3640",
            "fax_number": "310-526-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12063 JEFFERSON BLVD # A",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306219",
            "telephone_number": "310-821-3640",
            "fax_number": "310-526-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROZONE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "KAYEM",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-598-1820",
        "authorized_official_credential": "M.S.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "11010",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "10919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.