Individual provider Active NPI

Susan Meyers Fosnot, PHD , CCC-SLP, BCS-F

  • Speech-Language Pathologist
  • Woodland Hills, CA
National Provider Identifier
1689166936
Registry record updated Jun 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP2661 Issued in CA
Practice address
5850 Canoga Ave FL 4
Woodland Hills, CA 91367-6554
Phone
(818) 884-9110
NPI assigned
Jun 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP2661 CA Primary

Addresses

Primary practice location

5850 Canoga Ave FL 4
Woodland Hills, CA 91367-6554

Mailing address

29651 Mulholland Hwy
Agoura Hills, CA 91301-3003
Phone (818) 884-9110

Other identifiers 2

IdentifierTypeStateIssuer
SP2661OtherCASPEECH -LANUAGE PATHOLOGY, AUDIOLOGY & HEARING AID DISPENERS BOARD
00454611OtherCAAMERICAN SPEECH LANUAGE & HEARING ASSOCIATION

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SP2661CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1527897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527897600000",
    "number": "1689166936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29651 MULHOLLAND HWY",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913013003",
            "telephone_number": "818-884-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 CANOGA AVE FL 4",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676554",
            "telephone_number": "818-884-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSNOT",
        "first_name": "SUSAN",
        "middle_name": "MEYERS",
        "credential": "PHD , CCC-SLP, BCS-F",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-02",
        "last_updated": "2018-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP2661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH -LANUAGE PATHOLOGY, AUDIOLOGY & HEARING AID DISPENERS BOARD",
            "identifier": "SP2661",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH LANUAGE & HEARING ASSOCIATION",
            "identifier": "00454611",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2018; 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.