NPIMap

Organization Active NPI

Autism Specialists LLC

  • Speech-Language Pathologist
  • Albuquerque, NM
National Provider Identifier
1104066463
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
AUTISM SPECIALISTS LLC
Practice address
5924 Anaheim Ave NE Ste B
Albuquerque, NM 87113-1879
Phone
(505) 720-7537
Fax
(505) 922-4917
NPI assigned
Feb 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Mrs. Jessica A Donaldson, PHD., M.S., CCC-SLPNPI 1982802609
Title
Ceo
Phone
(505) 720-7537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

5924 Anaheim Ave NE Ste B
Albuquerque, NM 87113-1879

Mailing address

5924 Anaheim Ave NE Ste B
Albuquerque, NM 87113-1879
Phone (505) 720-7537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250515001391 NM Part B Supplier - Clinic/Group Practice 3870011653 Receives reassigned benefits from 6 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

2521 San Pedro Dr NE
Ste F
Albuquerque, NM 87110
Phone (505) 633-4107

5924 Anaheim Ave NE
Ste B
Albuquerque, NM 87113
Phone (505) 720-7537

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1104066463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 ANAHEIM AVE NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131879",
            "telephone_number": "505-720-7537",
            "fax_number": "505-922-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 ANAHEIM AVE NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131879",
            "telephone_number": "505-720-7537",
            "fax_number": "505-922-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-720-7537",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD., M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.