Ellen Saizan, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S4300 Issued in MS

Practice address

15465 Oak LN Ste 100C
Gulfport, MS 39503-2663

Phone

(228) 344-0078

NPI assigned

Jan 22, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alexander Therapy Services, LLC

  • Speech-Language Pathologist
  • Gulfport, MS
  • NPI 1528559440
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1013471218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15465 OAK LN STE 100C",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032663",
            "telephone_number": "228-344-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15465 OAK LN STE 100C",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032663",
            "telephone_number": "228-344-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIZAN",
        "first_name": "ELLEN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S4300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06177001",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda R Safley, M.D.
• William Lawson Safley, M.D.
• Sage Health Mississippi LLC
• Sabrina Sagers, PHARM D
• Devante Sago
• Samuel Saizan
• Brandi Saksa
• Judy E Salling
• Georgia Courtenay Salloum
• Sally Smirthwaite, LCSW, PLLC

• Speech-Language Pathologist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.