Mary Louise Ninan, M.A., M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

40461 Issued in CA

Practice address

1252 Seville Dr
Pacifica, CA 94044-3554

Phone

(415) 412-1757

NPI assigned

Nov 21, 2025

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

Other names 1

• Mary Lou Ninan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

State licenses

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

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1508727181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 SEVILLE DR",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940443554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 SEVILLE DR",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940443554",
            "telephone_number": "415-412-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINAN",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "credential": "M.A., M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "40461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY LOU",
            "last_name": "NINAN",
            "credential": "M.A., M.S., CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Viktoriya Neverov-Krstic, L.AC.
• Jonathan Justin Newsome, MSW , LCSW
• Duy M Nguyen, DDS
• Abby Breitman Nicholson, AMFT
• Kelly M Niess, MFTI 58694
• Loretta Mary O'Brien, D.C.
• Caroline Bea O'Devlin, SLP
• Enna Ruth Opreanu O'Donnell, LMFT
• Oceanside Healing LLC
• Dayana Gisselle Orellana Sanchez

• Speech-Language Pathologist in Pacifica, CA
• Providers in Pacifica, 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 21, 2025; 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.