PROVENANCE SPEECH AND LANGUAGE SOLUTIONS
NPI 1477881274
Speech-Language Pathologist in Los Angeles, CA

NPI Status: Active since December 07, 2009

Contact Information

13101 W WASHINGTON BLVD
STE. 130
LOS ANGELES, CA
ZIP 90066
Phone: (310) 566-7479
Fax: (310) 566-7487

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About PROVENANCE SPEECH AND LANGUAGE SOLUTIONS

This page provides the complete NPI Profile along with additional information for Provenance Speech And Language Solutions, a provider established in Los Angeles, California operating as a Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1477881274 assigned on December 2009. The practitioner's primary taxonomy code is 235Z00000X with license number 12871 (CA). The provider is registered as an organization and their NPI record was last updated 15 years ago. Provenance Speech And Language Solutions operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Provenance Speech And Language Solutions. The authorized official of this NPI record is Ms. Dorothy M Polite Ma, Ccc-slp (President)

NPI
1477881274
Provider Legal Name
CORPORATE COMMUNICOLOGY SOLUTIONS, INC.
Other Organization Name
PROVENANCE SPEECH AND LANGUAGE SOLUTIONS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
13101 W WASHINGTON BLVD STE. 130 LOS ANGELES, CA 90066
Location Phone
(310) 566-7479
Location Fax
(310) 566-7487
Mailing Address
13428 MAXELLA AVE STE. 130 MARINA DEL REY, CA 90292
Mailing Phone
(310) 566-7479
Mailing Fax
(310) 566-7487
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-07-2009
Last Update Date
07-20-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
License No.
12871
License State
CA
Taxonomy Description
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. DOROTHY M POLITE MA, CCC-SLP

Authorized Official Title
PRESIDENT
Authorized Official Phone
(310) 566-7479

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1477881274
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241471682214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 6 + 8 + 2 + 2 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1477881274 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366597072 DOROTHY M. POLITE
Individual
Speech-Language Pathologist13101 W WASHINGTON BLVD SUITE 130
LOS ANGELES, CA 90066
(310) 566-7479
1184922213DR. AUDREY JANIS LEVY PSY.D.
Individual
Marriage & Family Therapist13101 W WASHINGTON BLVD # 422
LOS ANGELES, CA 90066
(310) 306-7750
1962762229 BETH ROSENBLATT MFT-ATR
Individual
Marriage & Family Therapist13101 W WASHINGTON BLVD
LOS ANGELES, CA 90066
(310) 415-3416
1508258450GALWAY TRADING LLC
Organization
Durable Medical Equipment & Medical Supplies13101 W WASHINGTON BLVD #433
LOS ANGELES, CA 90066
(800) 794-0763
1871947192DR. AMY KIM PSY.D.
Individual
Psychologist (Clinical)13101 W WASHINGTON BLVD 230
LOS ANGELES, CA 90066
(310) 880-8733
1710334990DARLS, INC
Organization
Counselor (Mental Health)13101 W WASHINGTON BLVD
LOS ANGELES, CA 90066
(310) 738-3609
1538517461 MICHAEL NEE LMFT
Individual
Marriage & Family Therapist13101 W WASHINGTON BLVD SUITE 216
LOS ANGELES, CA 90066
(310) 927-1755
1962951178MS. LISA LEANNE GRIDLEY L.AC.
Individual
Acupuncturist13101 W WASHINGTON BLVD STE 109
LOS ANGELES, CA 90066
(310) 566-7501
1891154670 MONICA DEMIAN
Individual
Counselor (Mental Health)13101 W WASHINGTON BLVD
LOS ANGELES, CA 90066
(310) 384-6132
1396367827 RACHEL ZHOU RBT
Individual
Behavior Analyst13101 W WASHINGTON BLVD
LOS ANGELES, CA 90066
(310) 853-8025
1306469028 CHRISTIAN LEON MA
Individual
Behavior Analyst13101 W WASHINGTON BLVD
LOS ANGELES, CA 90066
(310) 853-8025
1750906533 KYLE CLARK
Individual
Behavior Technician13101 W WASHINGTON BLVD
LOS ANGELES, CA 90066
(310) 853-8025
1457091522 MEAGAN ELIZABETH BLATTER WINOKUR LPCC
Individual
Counselor (Mental Health)13101 W WASHINGTON BLVD
LOS ANGELES, CA 90066
(424) 501-4332
1083486112 JACQUELINE LEE CORDOVA AMFT
Individual
Marriage & Family Therapist13101 W WASHINGTON BLVD
LOS ANGELES, CA 90066
(310) 906-0257
1124641030 STEPHANIE BEATRIZ WAY-ZAVALETA
Individual
Case Manager/Care Coordinator13101 W WASHINGTON BLVD
LOS ANGELES, CA 90066
(310) 367-3251
1013530971 JEFFREY CAMPBELL JR.
Individual
Behavior Technician13101 W WASHINGTON BLVD
LOS ANGELES, CA 90066
(310) 853-8025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477881274, enumerated in the NPI registry as an "organization" on December 07, 2009

The provider is located at 13101 W Washington Blvd Ste. 130 Los Angeles, Ca 90066 and the phone number is (310) 566-7479

This medical organization specializes in Speech-Language Pathologist with taxonomy code 235Z00000X

This NPI record was last updated on December 07, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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