Active NPI
Elaine Cusano, MS CCC
- Speech-Language Pathologist
- Mesa, AZ
National Provider Identifier
1780918953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP7505
- Practice address
- 551 S Higley Rd
Mesa, AZ 85206-2148 - Phone
- (480) 892-9777
- NPI assigned
- Sep 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 15247 | CA | |
| Speech-Language Pathologist | 235Z00000X | SLP7505 | AZ | Primary |
Addresses
Primary practice location
551 S Higley Rd
Mesa, AZ 85206-2148
Mailing address
3370 S Holly CT
Chandler, AZ 85248-3657
Phone (714) 319-1630
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 |
|---|---|---|---|
| SLP7505 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Pediatric Therapy, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342051200000",
"number": "1780918953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3370 S HOLLY CT",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852483657",
"telephone_number": "714-319-1630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 S HIGLEY RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852062148",
"telephone_number": "480-892-9777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSANO",
"first_name": "ELAINE",
"credential": "MS CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-21",
"last_updated": "2012-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "15247",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP7505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.