McCullough Consultants LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17498 Issued in CA

Legal business name

MCCULLOUGH CONSULTANTS LLC

Practice address

8826 S Gramercy PL
Los Angeles, CA 90047-3205

Phone

(323) 691-1859

NPI assigned

Mar 20, 2012

Organization subpart

No

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

Authorized official

Name

Adia McCullough

Title

Owner

Phone

(323) 691-1859

Specialties & licenses 1

Addresses

Practitioners 1

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

• Adia Gorham, MS, CC-SLP

  • Speech-Language Pathologist
  • Inglewood, CA
  • NPI 1538456587
  NPD (past)

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1730454992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8826 S GRAMERCY PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900473205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8826 S GRAMERCY PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900473205",
            "telephone_number": "323-691-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLOUGH CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "ADIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-691-1859"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Lee McCulley, LMFT
• Joan Helene McCulloch, MS
• Kalie McCulloch, DMD
• Patricia McCulloch
• Zhena McCullom
• Diamonique McCullough, MSW
• Garrett Grannan McCullough
• Kelley D McCullough
• Kelly Fairchild McCullough
• Lynne B McCullough, MD

• Speech-Language Pathologist in Los Angeles, CA
• Providers in Los Angeles, 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 Mar 20, 2012; 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.