Organization Active NPI

Childrens Learning Connection, LLC

  • Speech-Language Pathologist
  • Huntington Beach, CA
National Provider Identifier
1689723595
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP12005 Issued in CA
Legal business name
CHILDRENS LEARNING CONNECTION, LLC
Practice address
5312 Bolsa Ave.
Ste. # 105
Huntington Beach, CA 92649
Phone
(818) 241-6780
Fax
(818) 241-6853
NPI assigned
Jan 9, 2007
Last updated
Dec 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Authorized official

Name
Jeffery Winter
Title
Cheif Executive Officer
Phone
(818) 241-6780

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT 36283 CA
Pediatric Physical Therapist 2251P0200X PT 37480 CA
Pediatric Occupational Therapist 225XP0200X OT 8264 CA
Pediatric Occupational Therapist 225XP0200X OT 11533 CA
Speech-Language Pathologist 235Z00000X SP 11693 CA
Speech-Language Pathologist 235Z00000X SP 15824 CA
Speech-Language Pathologist 235Z00000X SP 15812 CA
Speech-Language Pathologist 235Z00000X SP 14005 CA
Speech-Language Pathologist 235Z00000X SP 10842 CA
Speech-Language Pathologist 235Z00000X SP12005 CA Primary
Behavior Analyst 103K00000X BCBA 1-07-3352 CA
Behavior Analyst 103K00000X BCBA 1-09-5316 CA
Behavior Analyst 103K00000X 1-09-5375 CA
Behavior Analyst 103K00000X BCBA 1-03-1209 CA

Addresses

Primary practice location

5312 Bolsa Ave.
Ste. # 105
Huntington Beach, CA 92649

Mailing address

505 N. Brand Blvd
Suite 1000
Glendale, CA 91203
Phone (855) 295-3276

Other names 1

  • Children's Learning Connection, Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

206 N Jackson St
Ste 202
Glendale, CA 91206

311 N Tustin St
Ste 100
Orange, CA 92867
Phone (714) 965-2324

3111 N Tustin St
Ste 100
Orange, CA 92865
Phone (714) 835-5587

1479 Saratoga Ave
San Jose, CA 95129
Phone (810) 813-1807

1651 E 4th St
Ste 150
Santa Ana, CA 92701
Phone (714) 835-5587

Practitioners & affiliated clinicians

Practitioners 210

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.

View all 210

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1689723595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N. BRAND BLVD",
            "address_2": "SUITE 1000",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91203",
            "telephone_number": "855-295-3276",
            "fax_number": "818-241-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5312 BOLSA AVE.",
            "address_2": "STE. # 105",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92649",
            "telephone_number": "818-241-6780",
            "fax_number": "818-241-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS LEARNING CONNECTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "818-241-6780"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT 36283",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT 37480",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT 8264",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT 11533",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 11693",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 15824",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 15812",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 14005",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 10842",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP12005",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "BCBA 1-07-3352",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "BCBA 1-09-5316",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-09-5375",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "BCBA 1-03-1209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Learning Connection, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Children's Learning Connection, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.