Organization Active NPI

Susan M. Fosnot, PHD Speech Therapist Inc.

  • Speech-Language Pathologist
  • Woodland Hills, CA
National Provider Identifier
1548413909
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SUSAN M. FOSNOT, PHD SPEECH THERAPIST INC.
Practice address
5850 Canoga Ave FL 4
Woodland Hills, CA 91367-6554
Phone
(818) 884-9110
NPI assigned
Oct 29, 2008
Last updated
Dec 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Authorized official

Name
Mrs. Susan M. Fosnot, PHD , CCC-SLP, BCS-FNPI 1689166936
Title
Speech Language Pathologist
Phone
(818) 884-9110

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

Addresses

Primary practice location

5850 Canoga Ave FL 4
Woodland Hills, CA 91367-6554

Mailing address

5850 Canoga Ave FL 4
Woodland Hills, CA 91367-6554
Phone (818) 884-9110

Other identifiers 1

IdentifierTypeStateIssuer
SP2661OtherCASPEECH -LANUAGE PATHOLOGY, AUDIOLOGY & HEARING AID DISPENERS BOARD

National Provider Directory

National Provider Directory

Locations

5850 Canoga Ave
Fl 4
Woodland Hills, CA 91367
Phone (805) 908-1866

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": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1548413909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 CANOGA AVE FL 4",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676554",
            "telephone_number": "818-884-9110",
            "fax_number": "818-884-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 CANOGA AVE FL 4",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676554",
            "telephone_number": "818-884-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN M. FOSNOT, PHD SPEECH THERAPIST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "FOSNOT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "818-884-9110",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD , CCC-SLP, BCS-F"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH -LANUAGE PATHOLOGY, AUDIOLOGY & HEARING AID DISPENERS BOARD",
            "identifier": "SP2661",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.