| Easy Speech Therapy Center | |
|
75100 Mediterranean Palm Desert CA 92211-9069 | |
| (760) 837-0033 | |
| (760) 837-1013 |
| Full Name | Easy Speech Therapy Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 75100 Mediterranean, Palm Desert, California |
| Authorized Official Name and Position | Ashlyn Champagne (PRESIDENT/CLINICAL DIRECTOR) |
| Authorized Official Contact | 4422826695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Easy Speech Therapy Center 75100 Mediterranean Palm Desert CA 92211-9069 Ph: (760) 837-0033 | Easy Speech Therapy Center 75100 Mediterranean Palm Desert CA 92211-9069 Ph: (760) 837-0033 |
| NPI Number | 1124434261 |
|---|---|
| Provider Enumeration Date | 07/09/2014 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Medicare PECOS PAC ID | 2163716457 |
|---|---|
| Medicare Enrollment ID | O20160809002788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124434261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Mary J Alarcon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083868541 PECOS PAC ID: 5193994465 Enrollment ID: I20110803000699 |
| Provider Name | Ashlyn Brook Champagne |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083126429 PECOS PAC ID: 2062771363 Enrollment ID: I20180112000439 |
| Provider Name | Karianne M Beltran |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669980702 PECOS PAC ID: 1052659109 Enrollment ID: I20190214001918 |
| Provider Name | Michael E Kuldanek |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467079616 PECOS PAC ID: 4789008004 Enrollment ID: I20200721000201 |
| Provider Name | Jacqueline Contreras Bugarin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336650340 PECOS PAC ID: 4981029949 Enrollment ID: I20200807001005 |
| Provider Name | Katherine Simonitch |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467861518 PECOS PAC ID: 4183044068 Enrollment ID: I20201014001964 |
| Provider Name | Bianca Perales |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609264365 PECOS PAC ID: 9335464585 Enrollment ID: I20201015002099 |
| Provider Name | Jessica Weigand |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639669450 PECOS PAC ID: 2860809324 Enrollment ID: I20210329002200 |
| Provider Name | Kristin Kay Guziewicz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063001402 PECOS PAC ID: 4486063302 Enrollment ID: I20210505002833 |
| Provider Name | Jhymai Stevenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295327773 PECOS PAC ID: 9133528136 Enrollment ID: I20210525000455 |
| Provider Name | Tori Thomason |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689288003 PECOS PAC ID: 1951799873 Enrollment ID: I20211026003115 |
| Provider Name | Carsen Jessup |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164914321 PECOS PAC ID: 0547659377 Enrollment ID: I20211116001642 |
| Provider Name | Christian Schwebler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730721333 PECOS PAC ID: 7416341607 Enrollment ID: I20220304000497 |
| Provider Name | Kristin Muller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649746744 PECOS PAC ID: 7214322064 Enrollment ID: I20220315001167 |
| Provider Name | Nicholas Russo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659037950 PECOS PAC ID: 4082000104 Enrollment ID: I20220329002226 |
| Provider Name | Jennifer Elaine Mulligan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508596875 PECOS PAC ID: 6608256912 Enrollment ID: I20220705001339 |
| Provider Name | Rachel Garcia |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659039055 PECOS PAC ID: 5294116950 Enrollment ID: I20220713001486 |
| Provider Name | Nolan S Baker |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1457911984 PECOS PAC ID: 0648658294 Enrollment ID: I20221210000519 |
| Provider Name | Yan Somoza |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1366637803 PECOS PAC ID: 5698068385 Enrollment ID: I20230106000520 |
| Provider Name | Andrea Marie Nielson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407534639 PECOS PAC ID: 2365803095 Enrollment ID: I20230727003819 |
| Provider Name | Ariana Martin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720743453 PECOS PAC ID: 3375906779 Enrollment ID: I20230901001453 |
| Provider Name | Bridget Keelin Hardy |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689177529 PECOS PAC ID: 6002260411 Enrollment ID: I20231003002545 |
| Provider Name | Deborah Garner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1497101737 PECOS PAC ID: 5092060541 Enrollment ID: I20240105001152 |
| Provider Name | Ahra Roh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780126029 PECOS PAC ID: 4789029224 Enrollment ID: I20240223003597 |
| Provider Name | Charles Brandon Wilson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740981711 PECOS PAC ID: 7315389160 Enrollment ID: I20240523003961 |
| Provider Name | Crystal Lopez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871328625 PECOS PAC ID: 4981145240 Enrollment ID: I20240926001738 |
| Provider Name | Alexandra Maeve Miele |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245753433 PECOS PAC ID: 9638603897 Enrollment ID: I20241111000833 |
| Provider Name | Eliana Rivera |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295332203 PECOS PAC ID: 7618494709 Enrollment ID: I20250513000169 |
| Provider Name | Alitzel Chantal Zepeda |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942019914 PECOS PAC ID: 5294246948 Enrollment ID: I20250618003104 |
| Provider Name | Gloria Norton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790459675 PECOS PAC ID: 2961903711 Enrollment ID: I20250902003226 |
| Provider Name | Heidi Linette Bolanos |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1013412337 PECOS PAC ID: 9638672975 Enrollment ID: I20250911004653 |
| Provider Name | Jacqueline Hardison |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083259808 PECOS PAC ID: 9931691870 Enrollment ID: I20251126002733 |
| Provider Name | Shannon Elizabeth Barbour |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780559047 PECOS PAC ID: 6204329543 Enrollment ID: I20251204001471 |
| Provider Name | Lilianna Chapa Amponsah |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487415832 PECOS PAC ID: 7416433487 Enrollment ID: I20260108003798 |
| Provider Name | Katarina Roberta Tauran |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629809108 PECOS PAC ID: 6406321728 Enrollment ID: I20260405000000 |
| Provider Name | Sienna Marie Chavira |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1578227062 PECOS PAC ID: 5698246064 Enrollment ID: I20260605003140 |
| Provider Name | Sandra Abdou |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295607489 PECOS PAC ID: 7113498130 Enrollment ID: I20260610000250 |
| Provider Name | Tristan Tyler Workman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881351997 PECOS PAC ID: 3173095932 Enrollment ID: I20260612003001 |
Jim Cho MD Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41990 Cook St, Suite F1001, Palm Desert, CA 92211 Phone: 760-360-2502 |
Palm Desert Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 72757 Fred Waring Dr Ste 1, Palm Desert, CA 92260 Phone: 760-340-5800 Fax: 760-340-5700 |
Faculty Physicians and Surgeons of Llusm Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41865 Boardwalk, Suite 103, Palm Desert, CA 92211 Phone: 760-341-5570 Fax: 909-558-3905 |
Jitka Civrna Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74000 Country Club Dr Ste G2, Palm Desert, CA 92260 Phone: 760-773-4948 Fax: 760-773-4910 |
Sacks Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44751 Village Ct, Suite 300, Palm Desert, CA 92260 Phone: 760-779-9100 Fax: 760-779-8202 |
John N Taylor, MD a Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41990 Cook St Bldg J, Suite 901, Palm Desert, CA 92211 Phone: 760-341-6262 Fax: 760-341-6226 |