LYDIA R MACKAY CCC-SLP
NPI 1346473311
Speech-Language Pathologist in Phoenix, AZ

Active since August 25, 2009
10251 N 35TH AVE, PHOENIX, AZ 85051(602) 995-7366 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lydia R Mackay Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYDIA R MACKAY CCC-SLP (NPI 1346473311) is an individual speech-language pathologist provider in Phoenix, Arizona, licensed in Arizona (6265) and active in the NPI registry since August 2009. She maintains a secondary practice location in Gilbert.

NPPES Registry Identity

NPI1346473311
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLYDIA R MACKAYCredential: CCC-SLP
Location Address10251 N 35TH AVEPhoenix, AZ 85051-1305
Mailing Address10251 N 35th AvePhoenix, AZ 85051-1305 · (602) 995-7366
Sole ProprietorNo
Enumeration DateAugust 25, 2009
Last NPPES UpdateApril 10, 2023
NPPES CertifiedApril 10, 2023
✔ NPI 1346473311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in AZ · 6265
Definition
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.
10251 N 35TH AVE, Phoenix, AZ 85051

Other Names 1

Former Name (1)Lydia Kearney

Secondary Practice Location 1

Location 1690 E Warner Rd Ste 105Gilbert, AZ 85296-3055 · Phone (480) 820-6366

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia R Mackay Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Lydia Mackay reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Developmental Disabilities
690 E WARNER RD STE 105
Gilbert, AZ 85296
  • Reassigned Medicare billing, Arizona enrollment
  • 25 clinicians in this Medicare group
Audiologist-Hearing Aid Fitter
208 E PINE KNOLL DR
Flagstaff, AZ 86011
  • Reassigned Medicare billing, Arizona enrollment
  • 17 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
10251 N 35TH AVE
PHOENIX, AZ 85051
Licensed Practical Nurse
10251 N 35TH AVE
PHOENIX, AZ 85051
Behavior Analyst
10251 N 35TH AVE
PHOENIX, AZ 85051
Speech-Language Pathologist
10251 N 35TH AVE
PHOENIX, AZ 85051
Occupational Therapy Assistant
10251 N 35TH AVE
PHOENIX, AZ 85051
Licensed Practical Nurse
10251 N 35TH AVE
PHOENIX, AZ 85051
Licensed Practical Nurse
10251 N 35TH AVE
PHOENIX, AZ 85051
Physical Therapy Assistant
10251 N 35TH AVE
PHOENIX, AZ 85051

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lydia Mackay's NPI number?

The NPI number for Lydia Mackay is 1346473311. It was assigned to this individual provider in the NPPES registry on August 25, 2009. The provider is also known as Lydia Kearney.

Where is Lydia Mackay located?

Lydia Mackay practices at 10251 N 35th Ave, Phoenix, AZ 85051. The listed phone number is (602) 995-7366.

What is Lydia Mackay's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Lydia Mackay enrolled in Medicare?

Yes. Lydia Mackay is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lydia Mackay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Mackay reassigns Medicare benefits to 2 organizations: Mentis Reo, LLC. (Gilbert, AZ) and Northern Arizona University (Flagstaff, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lydia Mackay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lydia Mackay was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.