JACQUELINE MANSARAM
NPI 1912570219
Speech-Language Pathologist in Phoenix, AZ

Active since July 23, 2021
4350 E RAY RD STE 101A, PHOENIX, AZ 85044(480) 704-5954 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 5, 2026, Jul 23, 2021 (2 updates tracked since 2021).

About Jacqueline Mansaram NPPES

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

JACQUELINE MANSARAM (NPI 1912570219) is an individual speech-language pathologist provider in Phoenix, Arizona, licensed in Arizona (SLP17250) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1912570219
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJACQUELINE MANSARAM
Location Address4350 E RAY RD STE 101APhoenix, AZ 85044-4707
Mailing Address2339 E Geneva DrTempe, AZ 85282-4146 · (713) 474-6598
Sole ProprietorNo
Enumeration DateJuly 23, 2021
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
NPI 1912570219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in AZ · SLP17250
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.

Also ListedBehavior TechnicianTaxonomy 106S00000X
4350 E RAY RD STE 101A, Phoenix, AZ 85044

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.

Speech-Language Pathologist
4350 E RAY RD STE 101A
PHOENIX, AZ 85044
Occupational Therapist
4350 E RAY RD STE 101A
PHOENIX, AZ 85044
Physical Therapist
4350 E RAY RD STE 101A
PHOENIX, AZ 85044
Speech-Language Pathologist
4350 E RAY RD STE 101A
PHOENIX, AZ 85044
Occupational Therapist (Pediatrics)
4350 E RAY RD STE 101A
PHOENIX, AZ 85044
Speech-Language Pathologist
4350 E RAY RD STE 101A
PHOENIX, AZ 85044
Occupational Therapist
4350 E RAY RD STE 101A
PHOENIX, AZ 85044
Speech-Language Pathologist
4350 E RAY RD STE 101A
PHOENIX, AZ 85044

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 Jacqueline Mansaram's NPI number?

The NPI number for Jacqueline Mansaram is 1912570219. It was assigned to this individual provider in the NPPES registry on July 23, 2021.

Where is Jacqueline Mansaram located?

Jacqueline Mansaram practices at 4350 E Ray Rd Ste 101A, Phoenix, AZ 85044. The listed phone number is (480) 704-5954.

What is Jacqueline Mansaram's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacqueline Mansaram was last updated on June 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.