Courtney Sistak, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP4767 Issued in AZ

Practice address

207 N Gilbert Rd
Ste 007
Gilbert, AZ 85234-5801

Phone

(602) 345-1785

Fax

(855) 461-3410

NPI assigned

Mar 23, 2007

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)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow With Words Inc

  • Speech-Language Pathologist
  • Gilbert, AZ
  • NPI 1669043667
  NPD Authorized official
• Healthy Brain Aging, LLC

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1700437506
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1467579334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2487 S GILBERT RD STE 106-134",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952805",
            "telephone_number": "480-452-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N GILBERT RD",
            "address_2": "STE 007",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345801",
            "telephone_number": "602-345-1785",
            "fax_number": "855-461-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISTAK",
        "first_name": "COURTNEY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjuli Sean Singh, SLPA
• Mary E. Sink
• Marissa Sinsabaugh, NP
• Leon Sipes
• Donyell Sison, OD
• Nicole Alexandra Sistek, MSN, PMHNP-BC
• Meagan Rose Sitko, NP
• Micaela Sitzler
• Jaclyn Marie Siverts, PA-C
• Ellie J Sivill, LCPC, LPC

• Speech-Language Pathologist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.