NPIMap

Individual provider Active NPI

Nikki Marie McRory, MA, CCC-SLP, BCBA

  • Speech-Language Pathologist
  • Encino, CA
National Provider Identifier
1841519816
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP10965 Issued in CA
Practice address
17609 Ventura Blvd
Suite 215
Encino, CA 91316-3858
Phone
(818) 501-8352
Fax
(818) 501-8325
NPI assigned
May 28, 2010
Last updated
May 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP10965 CA Primary

Addresses

Primary practice location

17609 Ventura Blvd
Suite 215
Encino, CA 91316-3858

Mailing address

17609 Ventura Blvd
Suite 215
Encino, CA 91316-3858
Phone (818) 501-8352

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 Arts

State licenses

LicenseStateTypeSpecialty
SP10965CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
McRory Pediatric Services Speech-Language Pathologist Past Accepting new patients
McRory Pediatrics Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1841519816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD",
            "address_2": "SUITE 215",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163858",
            "telephone_number": "818-501-8352",
            "fax_number": "818-501-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17609 VENTURA BLVD",
            "address_2": "SUITE 215",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163858",
            "telephone_number": "818-501-8352",
            "fax_number": "818-501-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRORY",
        "first_name": "NIKKI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP10965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.