Individual provider Active NPI

Cynthia D Bensema

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1558498121
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1235 E Harmont Dr
Phoenix, AZ 85020-3864
Phone
(602) 331-1470
Fax
(602) 678-5803
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

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

Addresses

Primary practice location

1235 E Harmont Dr
Phoenix, AZ 85020-3864

Mailing address

13130 W Jacobson Dr
Litchfield Park, AZ 85340-5399
Phone (623) 547-0486

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

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1558498121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13130 W JACOBSON DR",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405399",
            "telephone_number": "623-547-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E HARMONT DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203864",
            "telephone_number": "602-331-1470",
            "fax_number": "602-678-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSEMA",
        "first_name": "CYNTHIA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.