Active NPI
Perveen M Katrack, CCC-SLP
- Speech-Language Pathologist
- Newhall, CA
National Provider Identifier
1992056154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 15203
- Practice address
- 23504 Lyons Ave
Suite 103 B
Newhall, CA 91321-2500 - Phone
- (661) 253-0245
- Fax
- (661) 253-0310
- NPI assigned
- Sep 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 15203 | CA | Primary |
Addresses
Primary practice location
23504 Lyons Ave
Suite 103 B
Newhall, CA 91321-2500
Mailing address
28564 Ives CT
Saugus, CA 91350-3883
Phone (661) 309-9539
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mazda Speech-Language-Development Center | Speech-Language Pathologist | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Valencia, CA
- NPI 1720339815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1992056154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28564 IVES CT",
"city": "SAUGUS",
"state": "CA",
"postal_code": "913503883",
"telephone_number": "661-309-9539",
"fax_number": "661-644-9247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23504 LYONS AVE",
"address_2": "SUITE 103 B",
"city": "NEWHALL",
"state": "CA",
"postal_code": "913212500",
"telephone_number": "661-253-0245",
"fax_number": "661-253-0310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATRACK",
"first_name": "PERVEEN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-27",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "15203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newhall, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.