Maria Teresa Johnson, MACCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP12441 Issued in CA

Practice address

6350 Laurel Canyon Blvd
#257
North Hollywood, CA 91606-4701

Phone

(818) 437-8766

Fax

(818) 688-3191

NPI assigned

Jul 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Johnson Schutte Corp.

  • Speech-Language Pathologist
  • North Hollywood, CA
  • NPI 1346526811
  NPD (past)

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1720287196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6153 CARPENTER AVENUE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 LAUREL CANYON BLVD",
            "address_2": "#257",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064701",
            "telephone_number": "818-437-8766",
            "fax_number": "818-688-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARIA",
        "middle_name": "TERESA",
        "name_prefix": "Ms.",
        "credential": "MACCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP12441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JJ Cavari Home Care
• John J McGroarty M D Inc a Medical Corporation
• Johnson Schutte Corp.
• Ayanna-Ain Shanice Johnson
• Jasmine Johnson
• Nicholas Johnson
• Samantha Renee Johnson, NP
• Zondre Johnson, COUNSELOR
• Martha Cecilia Joma, M.A. LMFT
• Angel J Jones, FNP-BC

• Speech-Language Pathologist in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.