Active NPI
Candace Rika Minami, CCC-SLP
- Speech-Language Pathologist
- Fountain Hills, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP8775
- Practice address
- 17100 E Shea Blvd Ste 600
Fountain Hills, AZ 85268-6663 - Phone
- (480) 837-4565
- NPI assigned
- Aug 11, 2014
- Last updated
- Aug 22, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SLPA8775 | AZ | |
| Speech-Language Pathologist | 235Z00000X | SLP8775 | AZ | Primary |
Addresses
Primary practice location
17100 E Shea Blvd Ste 600
Fountain Hills, AZ 85268-6663
Mailing address
2032 E Windsong Dr
Phoenix, AZ 85048-8124
Phone (423) 258-2031
Other practice location 1
550 S Ironwood Dr
Apache Junction, AZ 85120-5002
Phone (423) 258-2031
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLPA8775 | AZ | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay4Kidz, LLC | Behavior Analyst | Current | Accepting new patients |
Locations
21045 N 9th Pl
Ste 204
Phoenix, AZ 85024
Phone (480) 548-2601
530 E McDowell Rd
Ste 107495
Phoenix, AZ 85004
9525 E Doubletree Ranch Rd
Ste 101
Scottsdale, AZ 85258
Phone (480) 488-3946
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Arizona Autism
- Occupational Therapist
- Scottsdale, AZ
- NPI 1750727798
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1235548587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2032 E WINDSONG DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850488124",
"telephone_number": "423-258-2031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17100 E SHEA BLVD STE 600",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852686663",
"telephone_number": "480-837-4565"
}
],
"practiceLocations": [
{
"address_1": "550 S Ironwood Dr",
"address_purpose": "LOCATION",
"city": "Apache Junction",
"state": "AZ",
"postal_code": "851205002",
"country_code": "US",
"telephone_number": "423-258-2031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINAMI",
"first_name": "CANDACE",
"middle_name": "RIKA",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-11",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA8775",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP8775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Hills, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.