Organization Active NPI

Southwest Human Developement

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1457592289
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP0653 Issued in AZ
Legal business name
SOUTHWEST HUMAN DEVELOPEMENT
Practice address
2850 N 24TH St
Phoenix, AZ 85008-1004
Phone
(602) 266-5976
Fax
(602) 274-8952
NPI assigned
Mar 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Authorized official

Name
Mrs. Ginger Ward
Title
Ceo
Phone
(602) 266-5976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X SLP0653 AZ Primary

Addresses

Primary practice location

2850 N 24TH St
Phoenix, AZ 85008-1004

Mailing address

2850 N 24TH St
Phoenix, AZ 85008-1004
Phone (602) 266-5976

Other identifiers 2

IdentifierTypeStateIssuer
936560MedicaidAZ
042127OtherAZUPIN

National Provider Directory

National Provider Directory
Tax ID family
Southwest Human Development4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1457592289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 N 24TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850081004",
            "telephone_number": "602-266-5976",
            "fax_number": "602-274-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 N 24TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850081004",
            "telephone_number": "602-266-5976",
            "fax_number": "602-274-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HUMAN DEVELOPEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-266-5976",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "936560",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "042127",
            "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 Mar 6, 2009; 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.