Active NPI
Cynthia M Gray, CCC, SLP
- Speech-Language Pathologist
- Phoenix, AZ
National Provider Identifier
1154532810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP0937
- Practice address
- 1900 W Thomas Rd
Phoenix, AZ 85015-6051 - Phone
- (602) 764-8163
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | SLP0937 | AZ | Primary |
Addresses
Primary practice location
1900 W Thomas Rd
Phoenix, AZ 85015-6051
Mailing address
2432 E Darrel Rd
Phoenix, AZ 85042-5934
Phone (602) 268-8999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 526741 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP0937 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154532810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2432 E DARREL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850425934",
"telephone_number": "602-268-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 W THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850156051",
"telephone_number": "602-764-8163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "CYNTHIA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "CCC, SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP0937",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "526741",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.