Active NPI
Michelle Joy Ross, CCC-SLP
- Speech-Language Pathologist
- Placentia, CA
National Provider Identifier
1982022711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 21324
- Practice address
- 774 S Placentia Ave
Suite 200
Placentia, CA 92870-6826 - Phone
- (800) 870-7989
- NPI assigned
- Mar 29, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 21324 | CA | Primary |
| Speech-Language Pathologist | 235Z00000X | 106657 | TX |
Addresses
Primary practice location
774 S Placentia Ave
Suite 200
Placentia, CA 92870-6826
Mailing address
774 S Placentia Ave
Suite 200
Placentia, CA 92870-6826
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21324 | CA | MD | Family Medicine Physician |
| 106657 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1982022711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "774 S PLACENTIA AVE",
"address_2": "SUITE 200",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928706826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "774 S PLACENTIA AVE",
"address_2": "SUITE 200",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928706826",
"telephone_number": "800-870-7989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "MICHELLE",
"middle_name": "JOY",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-29",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "21324",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "106657",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Placentia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.