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Jaclyn Brothers

Speech-Language Pathologist β€’ Mesa, AZ

Active NPI 1194254235 Individual Practitioner Female Practitioner
Practice location in NPPES

845 S Crismon Rd
Mesa, AZ 852082564

Call 4804729400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

845 S Crismon Rd

Mesa, AZ 852082564

Telephone 4804729400
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Agoura Hills, CA; Mesa, AZ. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Mesa and Arizona

430 active clinicians are listed under Speech-Language Pathologist with a practice address in Mesa, AZ (4,556 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mesa

0% of these 430 clinicians have the CMS telehealth indicator.

0.9% of these 430 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES AZ SLP10555

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES CA SP25120

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Secondary Practice Locations

7301 E Brown Rd

Mesa, AZ 852073803

Phone: 4804728000

30803 Mainmast Dr

Agoura Hills, CA 913011937

Phone: 8184294126

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
🏒
Secondary Practice Location Registered July 21, 2022

Additional practice office at 30803 Mainmast Dr, Agoura Hills, CA 913011937

🏒
Secondary Practice Location Registered July 21, 2022

Additional practice office at 7301 E Brown Rd, Mesa, AZ 852073803

πŸ“
Updated Business Mailing Address April 19, 2018

Registered at 17100 E SHEA BLVD STE 600, FOUNTAIN HILLS, AZ 852686663

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2018

Speech-Language Pathologist (license number reported to NPPES: AZ SLP10555)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Speech-Language Pathologist (license number reported to NPPES: CA SP25120)

βœ…
NPI Profile Active August 24, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location August 24, 2017

Registered at 845 S CRISMON RD, MESA, AZ 852082564 (Tel: 4804729400)

πŸ“
Updated Business Mailing Address August 24, 2017

Registered at 2929 N 70TH ST APT 3073, SCOTTSDALE, AZ 852516374 (Tel: (818) 429-4126)

πŸ‘€
Provider Name / Credentials Updated August 24, 2017

Recorded as JACLYN BROTHERS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2017

Speech-Language Pathologist (license number reported to NPPES: AZ SLP10555)

βœ…
NPI Profile Active June 11, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 11, 2017

Registered at 30803 MAINMAST DR, AGOURA HILLS, CA 913011937 (Tel: (818) 429-4126)

πŸ“
Business Mailing Address (Initial Record) June 11, 2017

Registered at 30803 MAINMAST DR, AGOURA HILLS, CA 913011937 (Tel: 8184294126)

πŸ‘€
Provider Name / Credentials (Initial Record) June 11, 2017

Recorded as JACLYN BROTHERS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2017

Speech-Language Pathologist (license number reported to NPPES: CA SP25120)

🟒
Initial NPI Registration & Enumeration June 11, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194254235
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2017
Last Update: July 21, 2022
Sole Proprietor: No

Other Speech-Language Pathologists in Mesa

Healthcare providers in Mesa

Mailing Address

17100 E Shea Blvd Ste 600

Fountain Hills, AZ 852686663

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.