Organization Active NPI

California State University Northridge

  • Speech-Language Pathologist
  • Northridge, CA
National Provider Identifier
1699084897
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CALIFORNIA STATE UNIVERSITY NORTHRIDGE
Practice address
18111 Nordhoff Street
Monterey Hall, Room 100
Northridge, CA 91330-8288
Phone
(818) 677-2856
Fax
(818) 677-5952
NPI assigned
Oct 5, 2010
Organization subpart
Yes
Parent organization
CALIFORNIA STATE UNIVERSITY NORTHRIDGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Dr. Janice Dorinda Woolsey, ED.D., MS, CCC-SLPNPI 1841470267
Title
Center Coordinator
Phone
(818) 677-6002

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

18111 Nordhoff Street
Monterey Hall, Room 100
Northridge, CA 91330-8288

Mailing address

18111 Nordhoff Street
Monterey Hall, Room 100
Northridge, CA 91330-8288
Phone (818) 677-2856

Other names 1

  • CSUN Language Speech and Hearing Center Other name

National Provider Directory

National Provider Directory
Tax ID family
University Corpvalley Trauma Center3 organizations share this tax ID, including this one
Part of
California State University Northridge Klotz Student Health Center

Other organizations with this tax ID 2

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

Locations

18111 Nordhoff St
Northridge, CA 91330
Phone (818) 677-1200

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1699084897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 NORDHOFF STREET",
            "address_2": "MONTEREY HALL, ROOM 100",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913308288",
            "telephone_number": "818-677-2856",
            "fax_number": "818-677-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 NORDHOFF STREET",
            "address_2": "MONTEREY HALL, ROOM 100",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913308288",
            "telephone_number": "818-677-2856",
            "fax_number": "818-677-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA STATE UNIVERSITY NORTHRIDGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORNIA STATE UNIVERSITY NORTHRIDGE",
        "enumeration_date": "2010-10-05",
        "last_updated": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "WOOLSEY",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "DORINDA",
        "authorized_official_title_or_position": "CENTER COORDINATOR",
        "authorized_official_telephone_number": "818-677-6002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D., MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSUN Language Speech and Hearing Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.