NPIMap

Organization Active NPI

Expressions Speech Language Pathology Services Inc

  • Speech-Language Pathologist
  • Garden Grove, CA
National Provider Identifier
1689893075
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2857447 Issued in CA
Legal business name
EXPRESSIONS SPEECH LANGUAGE PATHOLOGY SERVICES INC
Practice address
12062 Valley View St
Suite 137
Garden Grove, CA 92845-1737
Phone
(714) 901-1518
Fax
(714) 901-1359
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Ms. Erin M Densmore, M.A., CCC-SLP
Title
Co-Director, Cfo
Phone
(714) 901-1518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2857447 CA Primary

Addresses

Primary practice location

12062 Valley View St
Suite 137
Garden Grove, CA 92845-1737

Mailing address

12062 Valley View St
Suite 137
Garden Grove, CA 92845-1737
Phone (714) 901-1518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120419000200 CA Part B Supplier - Clinic/Group Practice 0042471054 Receives reassigned benefits from 1 practitioner
Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory
Tax ID family
Expressions Speech-Language Pathology Services Inc3 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.

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1689893075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12062 VALLEY VIEW ST",
            "address_2": "SUITE 137",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451737",
            "telephone_number": "714-901-1518",
            "fax_number": "714-901-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12062 VALLEY VIEW ST",
            "address_2": "SUITE 137",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451737",
            "telephone_number": "714-901-1518",
            "fax_number": "714-901-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESSIONS SPEECH LANGUAGE PATHOLOGY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "DENSMORE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-DIRECTOR, CFO",
        "authorized_official_telephone_number": "714-901-1518",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "2857447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.