Individual provider Active NPI

Maria Angelica Sanjak, SLP

  • Speech-Language Pathologist
  • Spring, TX
National Provider Identifier
1154738532
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
123126 Issued in TX
Practice address
3 Picasso Path PL
Spring, TX 77382-2046
Phone
(469) 531-1981
NPI assigned
Jul 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 123126 TX Primary

Addresses

Primary practice location

3 Picasso Path PL
Spring, TX 77382-2046

Mailing address

3 Picasso Path PL
Spring, TX 77382-2046
Phone (469) 531-1981

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

LicenseStateTypeSpecialty
123126TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
My Therapy, LLC Speech-Language Assistant CurrentSince Dec 22, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1154738532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PICASSO PATH PL",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773822046",
            "telephone_number": "469-531-1981",
            "fax_number": "469-531-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PICASSO PATH PL",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773822046",
            "telephone_number": "469-531-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANJAK",
        "first_name": "MARIA",
        "middle_name": "ANGELICA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "123126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.