Heather Sunshine, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Phoenix, AZ
NPI 1295956050 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1295956050
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP0332 (AZ)
- Practice address
- 3035 E Captain Dreyfus Ave
Phoenix, AZ 85032-6583 - Phone
- (602) 369-3451
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110325000793 | AZ | Practitioner - Qualified Speech Language Pathologist | 7618150756 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP0332 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theracare PLLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Theraplay4Kidz, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Anderson & Bates Inc | Current |
Accepting new patients | |
| Heartland Therapy, Inc. | Past | Accepting new patients | |
| Essential Therapy Solutions, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
530 E McDowell Rd
Ste 107495
Phoenix, AZ 85004
9525 E Doubletree Ranch Rd
Ste 101
Scottsdale, AZ 85258
Phone (480) 488-3946
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP0332 | AZ | Yes |
Addresses
Primary practice location
3035 E Captain Dreyfus Ave
Phoenix, AZ 85032-6583
Mailing address
3035 E Captain Dreyfus Ave
Phoenix, AZ 85032-6583
Phone (602) 369-3451
Other names
- Heather Sunshine Barinbaum
Other providers in Phoenix, AZ
- Sunshine Medical, LLC
- Sunshine Pharmacy
- Sunshine Trans LLC
- Sunshine Valley Psychiatric Services, LLC
- Sunshine Village Assisted Living and Memory Care LLC
- Kelly Sunshine
- Suntree Center LLC
- Sunwest Group Inc.
- Sunwest Rehab Co LLC
- Super Care, LLC
All providers in Phoenix, AZ · Speech-Language Pathologist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.