MRS. KELLY ELAINE GARDINA (NPI# 1871842211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871842211 |
| Entity Type | Individual |
| Full Name | MRS. KELLY ELAINE GARDINA |
| Credential | MS, CCC-SLP |
| Practice Address |
17609 Ventura Blvd Ste 215 Encino CA 91316-5126 |
| Mailing Address |
27200 Tourney Rd Ste 255 Valencia CA 91355-4983 |
| Practice Telephone | 8185018352 |
| Mailing Telephone | 6612229901 |
| Mailing Fax Number | 6612229326 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2016-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
1629 | CA | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 8385 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
17609 VENTURA BLVD STE 215 |
| City | ENCINO |
| State | CA |
| Zip Code | 91316-5126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558691014 | Mcrory Pediatric Services | Behavioral Analyst | 17609 Ventura Blvd Ste 215, Encino, CA 91316-5126 | 2010-01-06 |
| 1194120667 | Albert Leon | Behavioral Analyst | 17609 Ventura Blvd Ste 215, Encino, CA 91316-5126 | 2014-10-27 |
| 1487056024 | Cassandra Seemann | Speech-Language Pathologist | 17609 Ventura Blvd Ste 215, Encino, CA 91316-5126 | 2014-09-25 |
| 1063814903 | Ann Willis | Speech-Language Pathologist | 17609 Ventura Blvd Ste 215, Encino, CA 91316-5126 | 2014-09-23 |
| 1306255344 | Valerie Yael Mamane Benzaken | Behavioral Analyst | 17609 Ventura Blvd Ste 215, Encino, CA 91316-5126 | 2014-08-04 |
| 1326453424 | Yagnesh Vadgama | Behavioral Analyst | 17609 Ventura Blvd Ste 215, Encino, CA 91316-5126 | 2014-06-26 |
| 1376955237 | Nadereh Thomas | Behavioral Analyst | 17609 Ventura Blvd Ste 215, Encino, CA 91316-5126 | 2014-05-27 |
| 1083045199 | Hamith Mata | Behavioral Analyst | 17609 Ventura Blvd Ste 215, Encino, CA 91316-5126 | 2013-11-29 |
| 1659701118 | Mcrory Pediatric Services, Inc. | Behavioral Analyst | 17609 Ventura Blvd Ste 215, Encino, CA 91316-5126 | 2013-11-20 |
| 1134557705 | Inner Actions, LLC | Clinic/Center | 17609 Ventura Blvd Ste 215, Encino, CA 91316-5126 | 2013-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883341 | Kerry Ann Mclean | Marriage & Family Therapist | 1777 Ventura Blvd Unit 103, Encino, CA 91316 | 2020-05-27 |
| 1336793124 | Achieve Speech Associates, Inc. | Clinic/Center | 17605 Ventura Boulevard, #302, Encino, CA 91316 | 2019-07-30 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| 1437634466 | New Spirit Recovery, LLC | Substance Abuse Rehabilitation Facility | 17856 Cathedral Pl., Encino, CA 91316 | 2018-09-25 |
| 1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
| 1932614310 | Hannah Esther Weinsrein | Marriage & Family Therapist | 17337 Ventura Blvd., Sutie #317, Encino, CA 91316 | 2017-12-07 |
| 1881118560 | Paula Miley | Marriage & Family Therapist | 5535 Balboa Blvd #202, Encino, CA 91316 | 2017-08-03 |
| 1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
| 1962857235 | Jessica Shlager | Occupational Therapist | 6345 Balboa Boulevard Suite 120, Encino, CA 91316 | 2016-04-25 |
| 1720432800 | Canyon West Los Angeles LLC | Clinic/Center | 17167 W. Ventura Boulevard, Encino, CA 91316 | 2016-04-14 |
| Find all providers in zip 91316 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679114672 | Megan Johnson | Speech-Language Pathologist | 17609 Ventura Blvd Ste 302, Encino, CA 91316-5128 | 2019-10-01 |
| 1962920462 | Andrea Benbassat | Speech-Language Pathologist | 5805 White Oak Ave Unit 18922, Encino, CA 91416-5143 | 2017-09-05 |
| 1134593080 | Betty Bildner | Speech-Language Pathologist | 16331 Celinda Pl, Encino, CA 91436-3307 | 2015-11-16 |
| 1982070330 | Anna Joelle Gross | Speech-Language Pathologist | 4933 Petit Ave, Encino, CA 91436-1130 | 2015-08-19 |
| 1619374626 | Tiffany Alyesh | Speech-Language Pathologist | 16200 Ventura Blvd Ste 203c, Encino, CA 91436-4636 | 2014-11-20 |
| 1104245240 | Sulangi Ramanayake | Speech-Language Pathologist | 15720 Ventura Blvd Ste 613, Encino, CA 91436-4710 | 2014-04-15 |
| 1023437829 | Vicki Chia Hui Lin | Speech-Language Pathologist | 5292 Newcastle Ave Apt 4, Encino, CA 91316-3054 | 2014-04-09 |
| 1376885707 | Shabnam Sartipy | Speech-Language Pathologist | 5874 Zelzah Ave, Encino, CA 91316-1023 | 2013-03-24 |
| 1518262195 | Peggy J Robin | Speech-Language Pathologist | 16963 Bosque Dr, Encino, CA 91436-3532 | 2011-01-13 |
| 1699076430 | Derra Huxley | Speech-Language Pathologist | 16055 Ventura Blvd Ste 905, Encino, CA 91436-2611 | 2010-11-10 |
| Find all providers in ENCINO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.