Individual provider Active NPI

Christina Monique Carrizoza, M.S.

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1255467122
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLPL 4215 Issued in AZ
Practice address
5480 W Campbell Ave
Phoenix, AZ 85031-1115
Phone
(623) 691-5122
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLPL 4215 AZ Primary

Addresses

Primary practice location

5480 W Campbell Ave
Phoenix, AZ 85031-1115

Mailing address

6724 W Desert LN
Laveen, AZ 85339-2729
Phone (602) 995-8978

Other identifiers 1

IdentifierTypeStateIssuer
810673MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200116002846 AZ Practitioner - Qualified Speech Language Pathologist 8628403862 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLPL 4215AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Achievement Therapy Services CurrentSince May 5, 2020 Accepting new patients
Theraplay4Kidz, LLC Speech-Language Pathologist CurrentSince Nov 16, 2019 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

7120 E Sahuaro Dr
Scottsdale, AZ 85254
Phone (480) 488-3946

9525 E Doubletree Ranch Rd
Ste 101
Scottsdale, AZ 85258
Phone (480) 488-3946

32531 N Scottsdale Rd
Ste 105
Scottsdale, AZ 85266

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1255467122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6724 W DESERT LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392729",
            "telephone_number": "602-995-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 W CAMPBELL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311115",
            "telephone_number": "623-691-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIZOZA",
        "first_name": "CHRISTINA",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLPL 4215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "810673",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.