Active NPI
Alexandra Cleveland, MS
- Speech-Language Pathologist
- Goodyear, AZ
National Provider Identifier
1104558709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 13575 W McDowell Rd
Goodyear, AZ 85395-2604 - Phone
- (623) 536-9911
- NPI assigned
- Jun 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
13575 W McDowell Rd
Goodyear, AZ 85395-2604
Mailing address
4917 E Indian School Rd Apt 3
Phoenix, AZ 85018-5561
Phone (309) 696-4242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Rehabilitation, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Scottsdale Pediatric Behavioral Services PLLC | Past | Accepting new patients |
Locations
13391 N 94th Dr
Peoria, AZ 85381
Phone (623) 232-9841
13822 S 46th Pl
Phoenix, AZ 85044
Phone (480) 598-1224
Organizations & group practices 2
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.
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
AZ, Speech-Language Pathologist
-
- Behavior Analyst
- Scottsdale, AZ
- NPI 1124577192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1104558709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4917 E INDIAN SCHOOL RD APT 3",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850185561",
"telephone_number": "309-696-4242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13575 W MCDOWELL RD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952604",
"telephone_number": "623-536-9911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEVELAND",
"first_name": "ALEXANDRA",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-30",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.