Staci Neustadt, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP4713 Issued in AZ

Practice address

1745 S Alma School Rd Ste 145
Mesa, AZ 85210-3049

Phone

(480) 963-3634

NPI assigned

Mar 29, 2007

Last updated

Jun 11, 2019By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heartland Therapy, Inc.

  • Home Health Agency
  • Mesa, AZ
  • NPI 1962552547
  Medicare reassignment NPD
• Theracare PLLC

  • Occupational Therapist
  • Peoria, AZ
  • NPI 1962784249

  Speech-Language Pathologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1093835613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 N 68TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852572626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 S ALMA SCHOOL RD STE 145",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103049",
            "telephone_number": "480-963-3634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3023 N 81st St",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852516604",
            "country_code": "US",
            "telephone_number": "480-250-0852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEUSTADT",
        "first_name": "STACI",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA MEMBER NUMBER",
            "identifier": "12012239",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "SLP4713",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neurobloom Academy LLC
• Neurological Rehabilitation Center LLC.
• Neurology America LLC
• Neuromedicine Center, PLLC
• Neurotree
• Nevada Visiting Nurses
• Jennifer Conover Nevels, N.D.
• Shelby Nevenner
• New Arizona Family Inc
• New Direction Fertility Centers

• Speech-Language Pathologist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.