Effective Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

EFFECTIVE THERAPY LLC

Doing business as

Effective Therapy

Practice address

6131 N 27TH Ave Apt 2014
Phoenix, AZ 85017-1756

Phone

(602) 805-7305

NPI assigned

Mar 17, 2022

Last updated

Mar 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dmitri Tartsakov, SLPNPI 1669957551

Title

Owner

Phone

(347) 781-6718

Specialties & licenses 1

Addresses

Other names 1

• Effective Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dmitri Tartsakov

  • Speech-Language Pathologist
  • Phoenix, AZ
  • NPI 1669957551
  Authorized official Same address or phone

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1053069070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 N 27TH AVE APT 2014",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850171756",
            "telephone_number": "602-805-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 N 27TH AVE APT 2014",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850171756",
            "telephone_number": "602-805-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFECTIVE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "TARTSAKOV",
        "authorized_official_first_name": "DMITRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-781-6718",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Effective Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vicki Edwards
• Mark K Edwin, M.D.
• John A Eelkema, M.D.
• Austin James Eells, MD
• Taylor Eernisse, LPC
• Mindy Susan Effertz, LPC
• Scott Anthony Effinger, RPH
• Shirley Descheenie Effland, RN
• Kelsie Sue Effrein, DPM
• Julie Gaffney Effron, CTRS

• Speech-Language Pathologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.