Organization Active NPI

Douglas Speech Associates

  • Speech-Language Pathologist
  • Los Angeles, CA
National Provider Identifier
1952712754
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#11478 Issued in CA
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

Updated by the provider on May 14, 2014

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.