Active NPI
Ambros Marcel Wendel, SLPA
- Speech-Language Assistant
- Gilbert, AZ
National Provider Identifier
1487407441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA15136
- Practice address
- 2450 E Guadalupe Rd Ste 109
Gilbert, AZ 85234-5116 - Phone
- (480) 506-0016
- NPI assigned
- Apr 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 Assistant | 2355S0801X | SLPA15136 | AZ | Primary |
Addresses
Primary practice location
2450 E Guadalupe Rd Ste 109
Gilbert, AZ 85234-5116
Mailing address
1007 W Posada Ave
Mesa, AZ 85210-8278
Phone (480) 336-0666
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLPA15136 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1487407441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 W POSADA AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852108278",
"telephone_number": "480-336-0666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 E GUADALUPE RD STE 109",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852345116",
"telephone_number": "480-506-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENDEL",
"first_name": "AMBROS",
"middle_name": "MARCEL",
"name_prefix": "Mr.",
"credential": "SLPA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-09",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA15136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.