The Clubhouse Innovative Therapy Centers

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

TSLP9431 Issued in AZ

Legal business name

THE CLUBHOUSE INNOVATIVE THERAPY CENTERS

Practice address

4600 E Shea Blvd
101
Phoenix, AZ 85028-6024

Phone

(602) 368-8601

NPI assigned

Jun 8, 2015

Organization subpart

No

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

Authorized official

Name

Sally Vulcano

Title

Owner

Phone

(602) 368-8601

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1467832196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 E SHEA BLVD",
            "address_2": "101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 E SHEA BLVD",
            "address_2": "101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286024",
            "telephone_number": "602-368-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLUBHOUSE INNOVATIVE THERAPY CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "VULCANO",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-368-8601"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "AZ",
            "license": "TSLP9431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing and Speech Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Hearing and Speech Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.