NPIMap

Organization Active NPI

Arizona Institute for Communication & Cognitive Disorders Inc

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1013134170
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP0372 Issued in AZ
Legal business name
ARIZONA INSTITUTE FOR COMMUNICATION & COGNITIVE DISORDERS INC
Practice address
4545 N 36TH St Ste 125a
Phoenix, AZ 85018-3456
Phone
(602) 224-0202
Fax
(602) 393-0141
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Jane Trunzo
Title
Owner
Phone
(602) 224-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SLP0372 AZ Primary

Addresses

Primary practice location

4545 N 36TH St Ste 125a
Phoenix, AZ 85018-3456

Mailing address

4545 N 36TH St Ste 125a
Phoenix, AZ 85018-3456
Phone (602) 224-2020

Other names 1

  • ARIZONA INSTITUTE FOR COMMUNICATION & COGNITIVE DISORDERS INC Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address AICCD@aiccd.net
Direct Messaging Address AICCD@aiccd.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090723000560 AZ Part B Supplier - Clinic/Group Practice 7214089176 Receives reassigned benefits from 3 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

4545 N 36th St
Ste 125A
Phoenix, AZ 85018
Phone (602) 224-0202

4545 N 36th St
Ste 125C
Phoenix, AZ 85018

4545 N 36th St
Ste 125
Phoenix, AZ 85018
Phone (602) 224-0202

Interoperability endpoints

  • Direct secure messaging: aiccd@aiccd.net

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1013134170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 N 36TH ST STE 125A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183456",
            "telephone_number": "602-224-2020",
            "fax_number": "602-393-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N 36TH ST STE 125A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183456",
            "telephone_number": "602-224-0202",
            "fax_number": "602-393-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA INSTITUTE FOR COMMUNICATION & COGNITIVE DISORDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "TRUNZO",
        "authorized_official_first_name": "MARY JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-224-0202"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AICCD@aiccd.net",
            "affiliation": "N",
            "endpointDescription": "office of ARIZONA INSTITUTE FOR COMMUNICATION & COGNITIVE DISORDERS INC",
            "address_1": "4545 N 36th St",
            "address_2": "Suite 125C",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850183462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AICCD@aiccd.net",
            "affiliation": "N",
            "endpointDescription": "office of Arizona institute for communication & Cognitive Disorders INC",
            "address_1": "4545 N 36th St",
            "address_2": "Suite 125C",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850183462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ARIZONA INSTITUTE FOR COMMUNICATION & COGNITIVE DISORDERS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.