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Jacqueline Mansaram

Speech-Language Pathologist β€’ Phoenix, AZ

Active NPI 1912570219 Individual Practitioner Female Practitioner
Practice location in NPPES

4350 E Ray Rd Ste 101a
Phoenix, AZ 850444707

Call 4807045954 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

4350 E Ray Rd Ste 101a

Phoenix, AZ 850444707

Telephone 4807045954
Organization at the Same NPPES Address or Phone
Desert Valley Pediatric Therapy Facility NPI 1528209830

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Phoenix and Arizona

938 active clinicians are listed under Speech-Language Pathologist with a practice address in Phoenix, AZ (4,557 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Phoenix

0.4% of these 938 clinicians have the CMS telehealth indicator.

1.7% of these 938 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, 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

Self-certified to NPPES: 2026-06-05
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES AZ SLP17250

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Jennie Gibson , OTR, L, CSRS, CNS

Occupational Therapist - Neurorehabilitation

NPI 1376289751

Occupational Therapist Registered, L, CSRS, Clinical Nurse Specialist

Dr. Nicole Mccants , PT, DPT

Physical Therapist - Pediatrics

NPI 1215337944

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location June 05, 2026

Registered at 4350 E RAY RD STE 101A, PHOENIX, AZ 850444707 (Tel: 4807045954)

πŸ“
Updated Business Mailing Address June 05, 2026

Registered at 2339 E GENEVA DR, TEMPE, AZ 852824146 (Tel: 7134746598)

βœ…
NPI Profile Active July 23, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 23, 2021

Registered at 10830 CRAIGHEAD DR, HOUSTON, TX 770255804 (Tel: 7134746598)

πŸ“
Business Mailing Address (Initial Record) July 23, 2021

Registered at 4119 AMERSHAM WAY, SUGAR LAND, TX 774792944

πŸ‘€
Provider Name / Credentials (Initial Record) July 23, 2021

Recorded as JACQUELINE MANSARAM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2021

Behavior Technician

🟒
Initial NPI Registration & Enumeration July 23, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1912570219
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2021
Last Update: June 05, 2026
Sole Proprietor: No

Other Speech-Language Pathologists in Phoenix

All Speech-Language Pathologists in Phoenix

Mailing Address

2339 E Geneva Dr

Tempe, AZ 852824146

Phone: 7134746598

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.