Active NPI
Superior Speech and Language Services, LLC
- Hearing and Speech Clinic/Center
- Saint Johns, AZ
National Provider Identifier
1033875901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- SUPERIOR SPEECH AND LANGUAGE SERVICES, LLC
- Practice address
- 240 N 9TH W
Saint Johns, AZ 85936-4562 - Phone
- (928) 243-5137
- NPI assigned
- Nov 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Candice Gibbons Bond, CCC-SLP
- Title
- Speech-Language Pathologist
- Phone
- (928) 243-5137
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Primary |
Addresses
Primary practice location
240 N 9TH W
Saint Johns, AZ 85936-4562
Mailing address
PO Box 2011
Saint Johns, AZ 85936-2011
Phone (928) 243-5137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518196682 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Mesa, AZ
- NPI 1518196682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636934400000",
"number": "1033875901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2011",
"city": "SAINT JOHNS",
"state": "AZ",
"postal_code": "859362011",
"telephone_number": "928-243-5137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 N 9TH W",
"city": "SAINT JOHNS",
"state": "AZ",
"postal_code": "859364562",
"telephone_number": "928-243-5137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR SPEECH AND LANGUAGE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-15",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A",
"authorized_official_last_name": "BOND",
"authorized_official_first_name": "CANDICE",
"authorized_official_middle_name": "GIBBONS",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "928-243-5137",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1518196682",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Johns, AZ
- Speech and Feeding Nest
- St Johns Concho Senior Citizens Assoc
- St. Johns Unified School District
- Susan C. Starkel, R.N.
- Summit Healthcare Medical Associates
- Joseph Donovan Tenney, D.D.S.
- Sandra Maureen Thompson, LPC
- Western Drug Inc
- White Mountain Regional Medical Center Rural Health Clinic - St. Johns
- Tifani Kaye Wilhelm
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.