Individual provider Active NPI

Clinton Michael Saxton, M.S.,CCC-SLP

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1215916820
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1174 Issued in AZ
Practice address
1802 W Parkside LN
Phoenix, AZ 85027-1322
Phone
(602) 943-5472
Fax
(602) 943-4936
NPI assigned
Jan 11, 2006
Last updated
Nov 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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 1174 AZ Primary

Addresses

Primary practice location

1802 W Parkside LN
Phoenix, AZ 85027-1322

Mailing address

38418 N 12TH St
Phoenix, AZ 85086-4802
Phone (623) 465-5489

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191227000141 AZ Practitioner - Qualified Speech Language Pathologist 5496189433 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1174AZMDHomeopath

Practice roles

OrganizationSpecialtyStatusNew patients
Theraplay4Kidz, LLC Speech-Language Pathologist CurrentSince Oct 15, 2019 Accepting new patients
United Cerebral Palsy Association of Central Arizona Speech-Language Pathologist Past Accepting new patients

Locations

530 E McDowell Rd
Ste 107495
Phoenix, AZ 85004

9525 E Doubletree Ranch Rd
Ste 101
Scottsdale, AZ 85258
Phone (480) 488-3946

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1215916820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38418 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850864802",
            "telephone_number": "623-465-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 W PARKSIDE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271322",
            "telephone_number": "602-943-5472",
            "fax_number": "602-943-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAXTON",
        "first_name": "CLINTON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "1174",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 3, 2008; 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.