SAMUEL ANTONIO REYNOSO
NPI 1043036213
Specialist/Technologist - Speech-Language Assistant in Mesa, AZ

NPI Status: Active since December 03, 2024

Contact Information

2150 S COUNTRY CLUB DR
MESA, AZ
ZIP 85210
Phone: (480) 398-4280

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  • Individual
  • Male
  • Specialist/Technologist
  • Speech-Language Assistant

About SAMUEL REYNOSO

This page provides the complete NPI Profile along with additional information for Samuel Reynoso, a provider established in Mesa, Arizona with a medical specialization in Specialist/technologist, focusing in speech-language assistant . The healthcare provider is registered in the NPI registry with number 1043036213 assigned on December 2024. The practitioner's primary taxonomy code is 2355S0801X with license number SLPA15782 (AZ). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1043036213
Provider Name
SAMUEL ANTONIO REYNOSO
Gender
Male
Entity Type
Individual
Location Address
2150 S COUNTRY CLUB DR MESA, AZ 85210
Location Phone
(480) 398-4280
Mailing Address
PO BOX 50218 PHOENIX, AZ 85076
Mailing Phone
(480) 398-4280
Mailing Fax
Is Sole Proprietor?
Yes
Enumeration Date
12-03-2024
Last Update Date
12-03-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Speech-Language Assistant

Taxonomy Code
2355S0801X
Type
Speech, Language and Hearing Service Providers
License No.
SLPA15782
License State
AZ

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043036213
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2083031222
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 0 + 3 + 1 + 2 + 2 + 2 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1043036213 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831498690 JAMI ELIZABETH JAIMES M. ED., LISAC
Individual
Counselor (Addiction (Substance Use Disorder))2150 S COUNTRY CLUB DR SUITE 41
MESA, AZ 85210
(480) 497-4042
1396165023MRS. ESTEFANIA VASQUEZ SHOCKLEY OTR/L
Individual
Occupational Therapist2150 S COUNTRY CLUB DR SUITE 20
MESA, AZ 85210
(480) 404-9700
1184009581MRS. KATHRYN ALLISON BONGIANNI OTR/L
Individual
Occupational Therapist2150 S COUNTRY CLUB DR STE 20
MESA, AZ 85210
(480) 398-4280
1649637356 DANIELLE SAMUELS
Individual
Speech-Language Pathologist2150 S COUNTRY CLUB DR SUITE 20
MESA, AZ 85210
(480) 398-4280
1831633015 HANNAH SWAN OTR
Individual
Occupational Therapist2150 S COUNTRY CLUB DR SUITE 20
MESA, AZ 85210
(480) 398-4280
1538685375MR. MEIR CAFRI
Individual
Speech-Language Pathologist2150 S COUNTRY CLUB DR
MESA, AZ 85210
(480) 398-4280
1184132235 CATALENA JADE VOGT COTA/L
Individual
Occupational Therapy Assistant2150 S COUNTRY CLUB DR
MESA, AZ 85210
(480) 404-9700
1154839090 KRISTYN CARLSON
Individual
Specialist/Technologist (Speech-Language Assistant)2150 S COUNTRY CLUB DR
MESA, AZ 85210
(480) 398-4280
1861402687TOUCHSTONE BEHAVIORAL HEALTH
Organization
Community/Behavioral Health2150 S COUNTRY CLUB DR SUITE 35
MESA, AZ 85210
(480) 456-9800
1164942595 MEKENZIE JOIRDAN SHRESTHA OTD, OTR/L
Individual
Occupational Therapist2150 S COUNTRY CLUB DR
MESA, AZ 85210
(480) 404-9700
1568234789 AMBER STANSBERRY
Individual
Occupational Therapist2150 S COUNTRY CLUB DR
MESA, AZ 85210
(480) 398-4280
1841037132 LEIGH WOODRUFF
Individual
Behavior Analyst2150 S COUNTRY CLUB DR
MESA, AZ 85210
(480) 842-7044
1427896638 KACHINA BLASER
Individual
Behavior Technician2150 S COUNTRY CLUB DR
MESA, AZ 85210
(619) 795-9925
1912738998 CLARISOL MENDIVILL MEDINA
Individual
Behavior Technician2150 S COUNTRY CLUB DR
MESA, AZ 85210
(480) 842-7044
1194550202 STACEY MISARAY-DELIOT
Individual
Behavior Technician2150 S COUNTRY CLUB DR
MESA, AZ 85210
(619) 795-9925
1447078597 JUAN PABLO LOPEZ RIOS
Individual
Behavior Technician2150 S COUNTRY CLUB DR
MESA, AZ 85210
(619) 795-9925
1649948357 MARGARET ANN YOUNG OTD
Individual
Occupational Therapist2150 S COUNTRY CLUB DR
MESA, AZ 85210
(480) 398-4280
1679384341 NAYOMI J KIDD-STEELE
Individual
Behavior Analyst2150 S COUNTRY CLUB DR UNIT 38
MESA, AZ 85210
(616) 795-9925
1184429763 MACEY RENEE PERRY
Individual
Behavior Technician2150 S COUNTRY CLUB DR
MESA, AZ 85210
(619) 795-9925

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043036213, enumerated in the NPI registry as an "individual" on December 03, 2024

The provider is located at 2150 S Country Club Dr Mesa, Az 85210 and the phone number is (480) 398-4280

The provider's speciality is Specialist/Technologist with taxonomy code 2355S0801X with a focus in Speech-Language Assistant

This NPI record was last updated on December 03, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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