Innovative Speech & Language Pathology Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

INNOVATIVE SPEECH & LANGUAGE PATHOLOGY INC

Doing business as

Omix Therapies

Practice address

8501 Wilshire Blvd Ste 336
Beverly Hills, CA 90211-3134

Phone

(310) 659-9511

Fax

(818) 697-9319

NPI assigned

Nov 5, 2015

Last updated

Mar 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Odelia Mirzadeh, SLPNPI 1205127446

Title

Seo

Phone

(310) 659-9511

Specialties & licenses 15

Addresses

Other names 1

• Omix Therapies Doing business as

Locations

Practitioners 7

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.

• Odelia Mirzadeh, CCC-SLP

  • Speech-Language Pathologist
  • Beverly Hills, CA
  • NPI 1205127446
  Authorized official Same address or phone
• Neilufar Javidzad, OTR/L

  • Occupational Therapist
  • Beverly Hills, CA
  • NPI 1558840025
  NPD (past)
• Shana M Lehar

  • Behavior Analyst
  • Beverly Hills, CA
  • NPI 1568774941
  NPD (past)
• Jessica Lieber, M.S., BCBA

  • Behavior Analyst
  • Beverly Hills, CA
  • NPI 1497096135
  NPD (past)
• Lovely Lasam Tapuro, MA, BCBA

  • Behavior Analyst
  • Pasadena, CA
  • NPI 1023464575
  NPD (past)
• Katherine Walczuk, MA, OTR/L

  • Occupational Therapist
  • Beverly Hills, CA
  • NPI 1104347574
  NPD (past)
• Bridget Deliberto, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Lewisville, TX
  • NPI 1508356148
  NPD (past)

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1619340098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 WILSHIRE BLVD STE 336",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113134",
            "telephone_number": "310-659-9511",
            "fax_number": "818-697-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 WILSHIRE BLVD STE 336",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113134",
            "telephone_number": "310-659-9511",
            "fax_number": "818-697-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SPEECH & LANGUAGE PATHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "MIRZADEH",
        "authorized_official_first_name": "ODELIA",
        "authorized_official_title_or_position": "SEO",
        "authorized_official_telephone_number": "310-659-9511",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omix Therapies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Beverly Hills, CA
• Providers in Beverly Hills, 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 Mar 30, 2021; 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.