Active NPI
Douglas Speech Associates
- Speech-Language Pathologist
- Los Angeles, CA
National Provider Identifier
1952712754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP#11478
- Legal business name
- DOUGLAS SPEECH ASSOCIATES
- Practice address
- 1680 Vine St
Suite 300
Los Angeles, CA 90028-8804 - Phone
- (323) 960-0176
- Fax
- (323) 960-0714
- NPI assigned
- May 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Garrett Douglas, CCC-SLP
- Title
- Owner/Director
- Phone
- (323) 960-0176
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP#11478 | CA | Primary |
| Early Intervention Provider Agency | 252Y00000X | SP#11478 | CA |
Addresses
Primary practice location
1680 Vine St
Suite 300
Los Angeles, CA 90028-8804
Mailing address
1680 Vine St
Suite 300
Los Angeles, CA 90028-8804
Phone (323) 960-0176
National Provider Directory
National Provider DirectoryLocations
1680 Vine St
Ste 300
Los Angeles, CA 90028
Phone (323) 960-0176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400025600000",
"number": "1952712754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 VINE ST",
"address_2": "SUITE 300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900288804",
"telephone_number": "323-960-0176",
"fax_number": "323-960-0714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 VINE ST",
"address_2": "SUITE 300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900288804",
"telephone_number": "323-960-0176",
"fax_number": "323-960-0714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS SPEECH ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-14",
"last_updated": "2014-05-14",
"status": "A",
"authorized_official_last_name": "DOUGLAS",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "GARRETT",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "323-960-0176",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP#11478",
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "CA",
"license": "SP#11478",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.