Susan Alstat, MS,CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146005154 Issued in IL

Practice address

1177 N Warson Rd
Saint Louis, MO 63132-1810

Phone

(314) 569-2211

NPI assigned

Aug 21, 2006

Last updated

Aug 17, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• St. Louis Arc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hazelwood, MO
  • NPI 1669658910
  NPD (past)
• St. Louis Arc Inc

  dba St Louis Arc

  • Speech-Language Pathologist
  • Saint Louis, MO
  • NPI 1215076898
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1255446803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 ARCHER DR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630101111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 N WARSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321810",
            "telephone_number": "314-569-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSTAT",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "MS,CCC-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146 005154",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146005154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpharus Health (GFI Services)
• Anas Malik Alrwashdeh, M.B.B.S
• Mohammed Eyad Yaseen Alsabbagh, M.D.
• Atheel Alsagheer, MD
• Ali Basil Alshawi, MD
• Kathleen Mary Alsup
• Alta Premier Health Services Inc
• Alta Primier Health Services Inc314
• Altair Transportation LLC
• Yara Altawil

• Speech-Language Pathologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.