Eleanor Poe, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

26694 Issued in CA

Practice address

100 Atlantic Ave Apt 900
Long Beach, CA 90802-5150

Phone

(310) 704-1891

NPI assigned

Jan 15, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Cap Communication and Education Solutions PC

  • Hearing and Speech Clinic/Center
  • Long Beach, CA
  • NPI 1366104952
  NPD
• Connected Neurodivergent Supports, LLC

  • Behavior Analyst
  • Saint Michael, MN
  • NPI 1467383539

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1508637901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ATLANTIC AVE APT 900",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908025150",
            "telephone_number": "310-704-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ATLANTIC AVE APT 900",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908025150",
            "telephone_number": "310-704-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POE",
        "first_name": "ELEANOR",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "26694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PMD Wellness Center Inc
• PMD Wellness Center Inc.
• Daniela Francesca Poblete
• Kathy Pock-Trujillo
• Audrey Podresov
• Kimberly Poehler, MA, LMFT
• Frankie Pogan Santos
• Jenilee Jo Pohle, FNP
• Pamela Jane Poindexter
• Ronald Poindexter, PPS

• Speech-Language Pathologist in Long Beach, CA
• Providers in Long Beach, 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 Jan 15, 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.