Individual provider Active NPI

Mikaela Bekman, SLP-CCC

  • Speech-Language Pathologist
  • Sherman Oaks, CA
National Provider Identifier
1558747998
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
27024 Issued in CA
Practice address
5135 Coldwater Canyon Ave
Sherman Oaks, CA 91423-1676
Phone
(818) 802-0730
NPI assigned
Aug 7, 2015
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-2774 NV
Speech-Language Pathologist 235Z00000X 27024 CA Primary

Addresses

Primary practice location

5135 Coldwater Canyon Ave
Sherman Oaks, CA 91423-1676

Mailing address

5135 Coldwater Canyon Ave
Sherman Oaks, CA 91423-1676
Phone (818) 802-0730

Other practice location 1

1340 Fox Acres Dr
Las Vegas, NV 89134-0511
Phone (818) 802-0730

Other identifiers 3

IdentifierTypeStateIssuer
SP-2774OtherNVNV SPEECH AND LANGUAGE BOARD
100346669001OtherCABLUE SHIELD PPO PROVIDER
27024OtherCASPEECH AND LANGUAGE BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27024CAMDSpeech-Language Pathologist
SP-2774NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Rehab Inc CurrentSince Nov 9, 2025 Accepting new patients
Speechsocial Inc Speech-Language Pathologist PastSince Jan 28, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1558747998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 COLDWATER CANYON AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231676",
            "telephone_number": "818-802-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 COLDWATER CANYON AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231676",
            "telephone_number": "818-802-0730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Fox Acres Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891340511",
            "country_code": "US",
            "telephone_number": "818-802-0730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEKMAN",
        "first_name": "MIKAELA",
        "credential": "SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-2774",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "27024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV SPEECH AND LANGUAGE BOARD",
            "identifier": "SP-2774",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PPO PROVIDER",
            "identifier": "100346669001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH AND LANGUAGE BOARD",
            "identifier": "27024",
            "state": "CA"
        }
    ],
    "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 Jan 24, 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.