Individual provider Active NPI

Cynthia C Schmidt, CCC-SLP

  • Speech-Language Pathologist
  • Peoria, AZ
National Provider Identifier
1255509071
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP7209 Issued in AZ
Practice address
9385 W Donald Dr
Peoria, AZ 85383-2988
Phone
(602) 390-7908
NPI assigned
Feb 14, 2008
Last updated
Jun 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP9735 CA
Speech-Language Pathologist 235Z00000X SLP7209 AZ Primary

Addresses

Primary practice location

9385 W Donald Dr
Peoria, AZ 85383-2988

Mailing address

1230 E Washington St
Suite 2
Colton, CA 92324-6450
Phone (909) 825-6716

Other practice location 1

802 Magnolia Ave
Suite 107
Corona, CA 92879-3104
Phone (951) 340-0070

Other names 1

  • Cynthia C Pollard Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200622001339 AZ Practitioner - Qualified Speech Language Pathologist 3072935006 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Group practices
High Country Early Intervention IncGroup PAC ID 7416381785, 4 clinicians

Practice addresses (Care Compare)

3160 Stillwater Dr
Prescott, AZ 86305-7151
Phone (928) 776-4349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP7209AZMDSpeech-Language Pathologist
SP9735CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
High Country Early Intervention Inc Speech-Language Pathologist CurrentSince Jul 8, 2025 Accepting new patients
Heartland Therapy, Inc. CurrentSince May 4, 2020 Accepting new patients
Theracare PLLC Speech-Language Pathologist CurrentSince May 4, 2020 Accepting new patients
Sonoran Sun Pediatric Therapy, LLC Speech-Language Pathologist Past Accepting new patients

Locations

2830 E Brown Rd
Ste 1
Mesa, AZ 85213
Phone (480) 830-1188

530 E McDowell Rd
Ste 107475
Phoenix, AZ 85004

3160 Stillwater Dr
Prescott, AZ 86305
Phone (928) 776-4349

Organizations & group practices 4

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": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1255509071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E WASHINGTON ST",
            "address_2": "SUITE 2",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923246450",
            "telephone_number": "909-825-6716",
            "fax_number": "909-825-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9385 W DONALD DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832988",
            "telephone_number": "602-390-7908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Magnolia Ave",
            "address_2": "SUITE 107",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928793104",
            "country_code": "US",
            "telephone_number": "951-340-0070",
            "fax_number": "951-340-9188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "CYNTHIA",
        "middle_name": "C",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP9735",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP7209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "POLLARD",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.