Jacob Gelien, M.S. SLP-CF

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP12023 Issued in AZ

Practice address

7000 W Happy Valley Rd
Peoria, AZ 85383-3278

Phone

(623) 445-7645

NPI assigned

Aug 14, 2019

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Deer Valley Unified School District

  • Local Education Agency (LEA)
  • Peoria, AZ
  • NPI 1891817300
  NPD (past)

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1659927770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 W UNION HILLS DR APT 1140",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081734",
            "telephone_number": "925-759-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W HAPPY VALLEY RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853833278",
            "telephone_number": "623-445-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELIEN",
        "first_name": "JACOB",
        "credential": "M.S. SLP-CF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP12023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles John Gatti, D.D.S.
• Ramona Gavrila, COTA
• Anthony Gayed, DPT
• Lisa M Gazia, FNP-C
• Ethiopia Gebeyehu, M.D.
• Generational Wellness Behavioral Health Clinic Inc
• Genesis Home Health LLC
• Lydia P. Genovese, R.D.
• Heidie M Gentes
• Amanda George, MA, BCBA, LBA

• Speech-Language Pathologist in Peoria, AZ
• Providers in Peoria, 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 Aug 14, 2019; 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.