Active NPI
Margaret Sudimack
- Speech-Language Pathologist
- Mesa, AZ
National Provider Identifier
1124450630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 2225 W Southern Ave
Mesa, AZ 85202-4716 - Phone
- (623) 888-3502
- NPI assigned
- Aug 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
2225 W Southern Ave
Mesa, AZ 85202-4716
Mailing address
7020 W Ocotillo Rd
Glendale, AZ 85303-3124
Phone (978) 453-8331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solace Pediatric Healthcare Therapy Services Az, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Piller Child Development | Past | Accepting new patients | |
| Piller Child Development LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Pioneer Pet, LLC | Past | Accepting new patients |
Locations
1930 E Southern Ave
Tempe, AZ 85282
Phone (480) 456-0719
60 E Rio Salado Pkwy
Ste 900
Tempe, AZ 85281
Phone (480) 456-0719
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Tempe, AZ
- NPI 1669533105
Speech-Language Pathologist
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1396297099
-
- Pediatric Occupational Therapist
- Phoenix, AZ
- NPI 1497087621
Speech-Language Pathologist
-
- Diagnostic Radiology Physician
- Tempe, AZ
- NPI 1265401996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1124450630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7020 W OCOTILLO RD",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853033124",
"telephone_number": "978-453-8331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 W SOUTHERN AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852024716",
"telephone_number": "623-888-3502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDIMACK",
"first_name": "MARGARET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-07",
"last_updated": "2021-10-29",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.