NPIMap

Organization Active NPI

Shoreline Speech Therapy and Language Center

  • Speech-Language Pathologist
  • Hermosa Beach, CA
National Provider Identifier
1801285127
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17199 Issued in CA
Legal business name
SHORELINE SPEECH THERAPY AND LANGUAGE CENTER
Practice address
2200 Pacific Coast Hwy
Ste 210
Hermosa Beach, CA 90254-2757
Phone
(310) 740-9493
NPI assigned
Jan 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Authorized official

Name
Ms. Megan McCormick, M.S.
Title
Owner
Phone
(310) 740-9493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 17199 CA Primary

Addresses

Primary practice location

2200 Pacific Coast Hwy
Ste 210
Hermosa Beach, CA 90254-2757

Mailing address

2200 Pacific Coast Hwy
Ste 210
Hermosa Beach, CA 90254-2757
Phone (310) 740-9493

Other names 1

  • Shoreline Speech Therapy & Language Center Doing business as

National Provider Directory

National Provider Directory

Locations

2200 Pacific Coast Hwy
Ste 210
Hermosa Beach, CA 90254
Phone (310) 344-5041

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1801285127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PACIFIC COAST HWY",
            "address_2": "STE 210",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542757",
            "telephone_number": "310-740-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PACIFIC COAST HWY",
            "address_2": "STE 210",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542757",
            "telephone_number": "310-740-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE SPEECH THERAPY AND LANGUAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-740-9493",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreline Speech Therapy & Language Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.