Analisa Church, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30795 Issued in CA

Practice address

2200 Pacific Coast Hwy Ste 210
Hermosa Beach, CA 90254-2701

Phone

(310) 740-9493

NPI assigned

Jun 22, 2021

Last updated

Jun 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Analisa Church Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Little Voices Speech Therapy Corp.

  • In Home Supportive Care Agency
  • Redondo Beach, CA
  • NPI 1609694322
  NPD Authorized official
• Shoreline Speech Therapy and Language Center

  dba Shoreline Speech Therapy & Language Center

  • Speech-Language Pathologist
  • Hermosa Beach, CA
  • NPI 1801285127
  NPD (past)

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1790354934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PACIFIC COAST HWY STE 210",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PACIFIC COAST HWY STE 210",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542701",
            "telephone_number": "310-740-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "ANALISA",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "30796",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "30795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANALISA",
            "last_name": "CHURCH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Child & Individual Art Therapy (Kavanaugh Therapy, Inc.)
• Susan Choi, PHARM. D.
• Jennifer Chrisman, PSY.D
• Christine L Spryer (Pacific Physical Therapy and Sports Rehabilitation)
• Noel Lee Chun, M.D.
• City of Hermosa Beach
• Steven Clark
• Coachcare Mso LLC
• Coast Chiropractic Center
• Coastal Behavior Care, LLC

• Speech-Language Pathologist in Hermosa Beach, CA
• Providers in Hermosa Beach, 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 Jun 22, 2021; 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.