Spark Cognitive Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP6744 Issued in AZ

Legal business name

SPARK COGNITIVE THERAPY

Practice address

2475 W Pecos Rd
Unit 1056
Chandler, AZ 85224-4807

Phone

(208) 357-6342

NPI assigned

Jul 12, 2016

Last updated

Jul 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katherine A Matley, MS, CCC-SLPNPI 1295044923

Title

Speech Language Pathologist

Phone

(208) 357-6342

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Katherine Alma Matley, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Scottsdale, AZ
  • NPI 1295044923
  Authorized official Same address or phone

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1376995449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6675",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466675",
            "telephone_number": "208-357-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 W PECOS RD",
            "address_2": "UNIT 1056",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244807",
            "telephone_number": "208-357-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK COGNITIVE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "MATLEY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "208-357-6342",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP6744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin R Southworth, PMHNP-BC
• Sovereign Health of Phoenix, Inc.
• Sozo Physical Therapy
• Dagne Hanson Spackman, MS
• Jandi Spann
• Steve Sparks, LCSW
• Lisa Sparr
• Sparrow Staffing Services (Sparrow Healthcare Services)
• Maria Spataro
• Jennifer L Spaude, LCSW

• Speech-Language Pathologist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.