Organization Active NPI

Creative Expression Therapy

  • Speech-Language Pathologist
  • Sherman Oaks, CA
National Provider Identifier
1497113385
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CREATIVE EXPRESSION THERAPY
Practice address
4717 Van Nuys Blvd Ste 101
Sherman Oaks, CA 91403-2149
Phone
(818) 917-5268
NPI assigned
Feb 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Anni CharthernNPI 1467896746
Title
Owner
Phone
(818) 917-5268

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
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4717 Van Nuys Blvd Ste 101
Sherman Oaks, CA 91403-2149

Mailing address

4717 Van Nuys Blvd Ste 101
Sherman Oaks, CA 91403-2149
Phone (818) 917-5268

Other practice location 1

8200 Professional Pl Ste 114
Landover, MD 20785-2293
Phone (818) 917-5268

National Provider Directory

National Provider Directory

Locations

4717 Van Nuys Blvd
Ste 101
Sherman Oaks, CA 91403
Phone (818) 491-8404

13400 Riverside Dr
Ste 310
Sherman Oaks, CA 91423
Phone (818) 245-5352

8200 Professional Pl
Ste 114
Landover, MD 20785
Phone (240) 297-3550

Practitioners & affiliated clinicians

Practitioners 1

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": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1497113385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 VAN NUYS BLVD STE 101",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032149",
            "telephone_number": "818-917-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 VAN NUYS BLVD STE 101",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032149",
            "telephone_number": "818-917-5268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 Professional Pl Ste 114",
            "address_purpose": "LOCATION",
            "city": "Landover",
            "state": "MD",
            "postal_code": "207852293",
            "country_code": "US",
            "telephone_number": "818-917-5268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATIVE EXPRESSION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "CHARTHERN",
        "authorized_official_first_name": "ANNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-917-5268"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.