JOAN HELENE MCCULLOCH MS
NPI 1629612171
Speech-Language Pathologist in Los Angeles, CA
About Joan Helene Mcculloch Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOAN HELENE MCCULLOCH MS (NPI 1629612171) is an individual speech-language pathologist provider in Los Angeles, California, licensed in California (3563) and active in the NPI registry since October 2019. She is a graduate of Vanderbilt University School Of Medicine (1978).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Joan Helene Mcculloch Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Joan Mcculloch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Joan Mcculloch's NPI number?
The NPI number for Joan Mcculloch is 1629612171. It was assigned to this individual provider in the NPPES registry on October 28, 2019.
Where is Joan Mcculloch located?
Joan Mcculloch practices at 200 Ucla Medical Plz Ste 540, Los Angeles, CA 90095. The listed phone number is (310) 825-8551.
What is Joan Mcculloch's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Joan Mcculloch enrolled in Medicare?
Yes. Joan Mcculloch is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Joan Mcculloch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joan Mcculloch reassigns Medicare benefits to (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joan Mcculloch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Joan Mcculloch was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Joan Helene Mcculloch, MS · NPI 1629612171
Speech-Language Pathologist provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since October 28, 2019.
## Identity
- **NPI:** 1629612171 (Entity type: Individual)
- **Enumerated:** October 28, 2019
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 3563 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 UCLA MEDICAL PLZ STE 540, Los Angeles, CA 90095-8344
- **Phone:** (310) 825-8551
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** (NPI 1235164245, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Vanderbilt University School Of Medicine, class of 1978
## Record status
- **NPPES last updated:** October 28, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1629612171) · Data from the CMS NPPES public registry.