Jasmine Maryam Mirdamadi, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

39061 Issued in CA

Practice address

3590B Pelham Pkwy # 184
Pelham, AL 35124-2034

Phone

(775) 525-8825

NPI assigned

Jul 10, 2026

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1407775984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 COPPER CANYON RD UNIT C",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590B PELHAM PKWY # 184",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242034",
            "telephone_number": "775-525-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRDAMADI",
        "first_name": "JASMINE",
        "middle_name": "MARYAM",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "39061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shalentae Montgomery
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• Speech-Language Pathologist in Pelham, AL
• Providers in Pelham, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.