Active NPI
Adalia Mullakandov, MS
- Speech-Language Pathologist
- Chandler, AZ
National Provider Identifier
1457031957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP12249
- Practice address
- 3160 N Arizona Ave
Chandler, AZ 85225-7122 - Phone
- (480) 365-9981
- NPI assigned
- Jul 19, 2023
- 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 | SLP12249 | AZ | Primary |
Addresses
Primary practice location
3160 N Arizona Ave
Chandler, AZ 85225-7122
Mailing address
11461 N 148TH Dr
Surprise, AZ 85379-7232
Phone (623) 285-7351
Other practice location 1
17825 W Sierra Montana Loop
Surprise, AZ 85388-7880
Phone (623) 285-7351
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP12249 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1457031957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11461 N 148TH DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853797232",
"telephone_number": "623-285-7351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 N ARIZONA AVE",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852257122",
"telephone_number": "480-365-9981"
}
],
"practiceLocations": [
{
"address_1": "17825 W Sierra Montana Loop",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853887880",
"country_code": "US",
"telephone_number": "623-285-7351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULLAKANDOV",
"first_name": "ADALIA",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-19",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP12249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.