NPIMap

Organization Active NPI

McRory Pediatric Services

  • Early Intervention Provider Agency
  • Encino, CA
National Provider Identifier
1669790895
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
X Issued in CA
Legal business name
MCRORY PEDIATRIC SERVICES
Practice address
17609 Ventura Blvd
Suite #215
Encino, CA 91316-3858
Phone
(818) 501-8352
Fax
(818) 501-8325
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Nikki McRory, MA, BCBA
Title
Speech Language Pathologist
Phone
(818) 501-8352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X X CA Primary

Addresses

Primary practice location

17609 Ventura Blvd
Suite #215
Encino, CA 91316-3858

Mailing address

17609 Ventura Blvd
Suite #215
Encino, CA 91316-3858
Phone (818) 501-8352

National Provider Directory

National Provider Directory
Tax ID family
Great Beginnings Family Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1658361600000",
    "number": "1669790895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD",
            "address_2": "SUITE #215",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163858",
            "telephone_number": "818-501-8352",
            "fax_number": "818-501-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD",
            "address_2": "SUITE #215",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163858",
            "telephone_number": "818-501-8352",
            "fax_number": "818-501-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCRORY PEDIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCRORY",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "818-501-8352",
        "authorized_official_credential": "MA, BCBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.