NPIMap

Organization Active NPI

Student Therapies and Resource Services

  • Speech-Language Pathologist
  • Fountain Hills, AZ
National Provider Identifier
1366697872
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP5991 Issued in AZ
Legal business name
STUDENT THERAPIES AND RESOURCE SERVICES
Practice address
16428 E Kingstree Blvd
Fountain Hills, AZ 85268-5440
Phone
(480) 837-4565
Fax
(480) 836-1992
NPI assigned
Nov 25, 2008
Last updated
Nov 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Mr. Randy Paulsen
Title
Cfo/Owner
Phone
(480) 837-4565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X TSLP5991 AZ Primary

Addresses

Primary practice location

16428 E Kingstree Blvd
Fountain Hills, AZ 85268-5440

Mailing address

16428 E Kingstree Blvd
Fountain Hills, AZ 85268-5440
Phone (480) 837-4565

Other names 1

  • STARS Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1366697872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16428 E KINGSTREE BLVD",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852685440",
            "telephone_number": "480-837-4565",
            "fax_number": "480-836-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16428 E KINGSTREE BLVD",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852685440",
            "telephone_number": "480-837-4565",
            "fax_number": "480-836-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDENT THERAPIES AND RESOURCE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "PAULSEN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CFO/OWNER",
        "authorized_official_telephone_number": "480-837-4565",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP5991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STARS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 25, 2008; 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.