NPIMap

Organization Active NPI

Mazda Speech Language Development Center

  • Hearing and Speech Clinic/Center
  • Newhall, CA
National Provider Identifier
1487082285
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
SP17812 Issued in CA
Legal business name
MAZDA SPEECH LANGUAGE DEVELOPMENT CENTER
Practice address
23504 Lyons Ave
Suite # 103B
Newhall, CA 91321-2500
Phone
(661) 253-0245
Fax
(661) 253-0310
NPI assigned
Oct 15, 2013
Last updated
Oct 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Authorized official

Name
Ms. Perveen M. Katrack, MS,CCC-SLPNPI 1992056154
Title
Owner
Phone
(661) 253-0245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X SP17812 CA Primary

Addresses

Primary practice location

23504 Lyons Ave
Suite # 103B
Newhall, CA 91321-2500

Mailing address

23504 Lyons Ave
Suite # 103B
Newhall, CA 91321-2500
Phone (661) 253-0245

National Provider Directory

National Provider Directory
Tax ID family
Mazda Infant-Toddler Development Program2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

23504 Lyons Ave
Ste 103B
Newhall, CA 91321
Phone (661) 253-0245

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1487082285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23504 LYONS AVE",
            "address_2": "SUITE # 103B",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212500",
            "telephone_number": "661-253-0245",
            "fax_number": "661-253-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23504 LYONS AVE",
            "address_2": "SUITE # 103B",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212500",
            "telephone_number": "661-253-0245",
            "fax_number": "661-253-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZDA SPEECH LANGUAGE DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "KATRACK",
        "authorized_official_first_name": "PERVEEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-253-0245",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "CA",
            "license": "SP17812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.