Individual provider Active NPI

Sarah Hales, MA CCC-SLP

  • Speech-Language Pathologist
  • Mesa, AZ
National Provider Identifier
1962556027
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4339 Issued in AZ
Practice address
551 S Higley Rd
Mesa, AZ 85206-2148
Phone
(480) 892-9777
Fax
(480) 635-0222
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 4339 AZ Primary

Addresses

Primary practice location

551 S Higley Rd
Mesa, AZ 85206-2148

Mailing address

551 S Higley Rd
Mesa, AZ 85206-2148
Phone (480) 892-9777

Other identifiers 1

IdentifierTypeStateIssuer
422840MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161003001731 AZ Practitioner - Qualified Speech Language Pathologist 8527355791 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4339AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy One, PLLC Speech-Language Pathologist CurrentSince Feb 1, 2016 Accepting new patients
Bright Horizon Rehab Therapy, LLC Speech-Language Pathologist Past Accepting new patients
Horizon Pediatric Therapy, Inc. Speech-Language Pathologist Past Accepting new patients

Locations

108 W University Dr
Mesa, AZ 85201
Phone (480) 649-3774

Organizations & group practices 3

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962556027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 S HIGLEY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062148",
            "telephone_number": "480-892-9777",
            "fax_number": "480-635-0222"
        },
        {
            "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",
            "fax_number": "480-635-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALES",
        "first_name": "SARAH",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "4339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422840",
            "state": "AZ"
        }
    ],
    "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 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.