Organization Active NPI

Superior Speech and Language Services, LLC

  • Hearing and Speech Clinic/Center
  • Saint Johns, AZ
National Provider Identifier
1033875901
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
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

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Mrs. Candice Gibbons Bond, CCC-SLPNPI 1518196682
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1518196682MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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

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.

Verify at the official NPI Registry.