Active NPI
Kristy Beth Malecki, M.A., CCC-SLP
- Speech-Language Pathologist
- Glendale, AZ
National Provider Identifier
1225160658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP1186
- Practice address
- 7355 W Orangewood
Desert Spirit School
Glendale, AZ 85303 - Phone
- (623) 915-7353
- NPI assigned
- Mar 12, 2007
- 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 | SLP1186 | AZ | Primary |
Addresses
Primary practice location
7355 W Orangewood
Desert Spirit School
Glendale, AZ 85303
Mailing address
18074 W Carol Ave
Waddell, AZ 85355
Phone (623) 584-0750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 522070 | 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP1186 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225160658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18074 W CAROL AVE",
"city": "WADDELL",
"state": "AZ",
"postal_code": "85355",
"telephone_number": "623-584-0750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7355 W ORANGEWOOD",
"address_2": "DESERT SPIRIT SCHOOL",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85303",
"telephone_number": "623-915-7353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALECKI",
"first_name": "KRISTY",
"middle_name": "BETH",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP1186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "522070",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendale, 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.