Active NPI
Raemin Minoo Katrack, M.S. CCC-SLP
- Speech-Language Pathologist
- Valencia, CA
National Provider Identifier
1730512856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 27201
- Practice address
- 27240 Turnberry LN
Ste 240
Valencia, CA 91355-1029 - Phone
- (661) 254-7086
- Fax
- (661) 254-7108
- NPI assigned
- Aug 12, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 27201 | CA | Primary |
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
27240 Turnberry LN
Ste 240
Valencia, CA 91355-1029
Mailing address
27240 Turnberry LN
Ste 240
Valencia, CA 91355-1029
Phone (661) 254-7086
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27201 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Learning Center | Past | Accepting new patients | |
| Behavioral Learning Center, Inc | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Valencia, CA
- NPI 1437493749
-
- Behavior Analyst
- Valencia, CA
- NPI 1477897163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1730512856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27240 TURNBERRY LN",
"address_2": "STE 240",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551029",
"telephone_number": "661-254-7086",
"fax_number": "661-254-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27240 TURNBERRY LN",
"address_2": "STE 240",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551029",
"telephone_number": "661-254-7086",
"fax_number": "661-254-7108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATRACK",
"first_name": "RAEMIN",
"middle_name": "MINOO",
"name_prefix": "Mr.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-12",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "27201",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.