Neurodevelopmental Learning Institute

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10919 Issued in CA

Legal business name

NEURODEVELOPMENTAL LEARNING INSTITUTE

Practice address

12063 Jefferson Blvd # a
Culver City, CA 90230-6219

Phone

(310) 821-3640

Fax

(310) 526-3438

NPI assigned

Jul 5, 2011

Organization subpart

No

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

Authorized official

Name

Erin D Kayem, M.S., CCC-SLP

Title

Owner, Executive Director

Phone

(310) 384-5159

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1619264132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12063 JEFFERSON BLVD # A",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306219",
            "telephone_number": "310-821-3640",
            "fax_number": "310-526-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12063 JEFFERSON BLVD # A",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306219",
            "telephone_number": "310-821-3640",
            "fax_number": "310-526-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODEVELOPMENTAL LEARNING INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "KAYEM",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER, EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-384-5159",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "18502",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "11010",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "10919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Culver City, CA
• Providers in Culver City, 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 11, 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.