Maryam Sadrzadeh, MS SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

021602 SI00002745 Issued in WA

Practice address

8301 161St Ave NE
Suite 203
Redmond, WA 98052-3858

Phone

(425) 882-4347

NPI assigned

Jul 7, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Evergreen Speech Clinic IncGroup PAC ID 0840429718, 4 clinicians

Practice addresses (Care Compare)

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.

• Evergreen Speech Clinic, Inc

  dba Evergreen Speech and Hearing Clinic, Inc

  • Clinic/Center
  • Redmond, WA
  • NPI 1346474731
  Medicare reassignment Care Compare group NPD
• Evergreen Hearing Clinic Inc

  dba Evergreen Speech and Hearing Clinic Inc

  • Audiologist
  • Redmond, WA
  • NPI 1013934918
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164454393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 161ST AVE NE",
            "address_2": "SUITE 203",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523858",
            "telephone_number": "425-882-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 161ST AVE NE",
            "address_2": "SUITE 203",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523858",
            "telephone_number": "425-882-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADRZADEH",
        "first_name": "MARYAM",
        "credential": "MS SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "021602 SI00002745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thalia Marie Ryer, MA, LMFTA
• Janell Saasen-Chinery, DPH., RPH
• Clarice E Sackett, M.D.
• Sadler Dental PLLC
• Stephen G. Sadler, DDS
• Safegard Services Inc. (SafeGard Travel Medicine)
• Luciana Moreira Lima Safioti, DDS, MSD
• Sharyn Saftler, RD
• David M Sage
• Keerti Sahasrabudhe, BDS MSD

• Speech-Language Pathologist in Redmond, WA
• Providers in Redmond, WA by specialty
• Speech-Language Pathologist in Washington

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.