NPIMap

Organization Active NPI

Jackie Kreitzman and Associates

  • Speech-Language Pathologist
  • Tarzana, CA
National Provider Identifier
1669790887
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 4063 Issued in CA
Legal business name
JACKIE KREITZMAN AND ASSOCIATES
Practice address
5567 Reseda Blvd
Suite 201
Tarzana, CA 91356-2674
Phone
(818) 705-6988
Fax
(818) 996-9339
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Ms. Jackie Kreitzman, C.C.C.NPI 1831219807
Title
Owner
Phone
(818) 705-6988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MFC 25692 CA
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP 4063 CA Primary

Addresses

Primary practice location

5567 Reseda Blvd
Suite 201
Tarzana, CA 91356-2674

Mailing address

5567 Reseda Blvd
Suite 201
Tarzana, CA 91356-2674
Phone (818) 705-6988

National Provider Directory

National Provider Directory

Locations

5567 Reseda Blvd
Ste 201
Tarzana, CA 91356
Phone (818) 705-6988

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1669790887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5567 RESEDA BLVD",
            "address_2": "SUITE 201",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562674",
            "telephone_number": "818-705-6988",
            "fax_number": "818-996-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5567 RESEDA BLVD",
            "address_2": "SUITE 201",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562674",
            "telephone_number": "818-705-6988",
            "fax_number": "818-996-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE KREITZMAN AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "KREITZMAN",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-705-6988",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C.C.C."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 25692",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 4063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.