Active NPI
Ellen Shchur
- Speech-Language Pathologist
- Encino, CA
National Provider Identifier
1710239231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9697
- Practice address
- 17609 Ventura Blvd
Suite 215
Encino, CA 91316-3858 - Phone
- (818) 501-8352
- Fax
- (818) 501-8325
- NPI assigned
- Oct 8, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0-11-4135 | CA | |
| Speech-Language Pathologist | 235Z00000X | 9697 | 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
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9697 | CA | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1710239231",
"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": {
"last_name": "SHCHUR",
"first_name": "ELLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-08",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "0-11-4135",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "9697",
"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 Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.