Organization Active NPI

McCormicare Speech Therapy, Inc

  • Speech-Language Pathologist
  • Peoria, AZ
National Provider Identifier
1659417608
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MCCORMICARE SPEECH THERAPY, INC
Practice address
13260 N 94TH Dr
Suite 104
Peoria, AZ 85381-4828
Phone
(623) 974-8900
Fax
(623) 974-8911
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Ms. Lori McCormick, MSCCC-SLP
Title
Owner
Phone
(623) 974-8900

Specialties & licenses 1

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

Addresses

Primary practice location

13260 N 94TH Dr
Suite 104
Peoria, AZ 85381-4828

Mailing address

13260 N 94TH Dr
Suite 104
Peoria, AZ 85381-4828
Phone (623) 974-8900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1659417608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13260 N 94TH DR",
            "address_2": "SUITE 104",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814828",
            "telephone_number": "623-974-8900",
            "fax_number": "623-974-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13260 N 94TH DR",
            "address_2": "SUITE 104",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814828",
            "telephone_number": "623-974-8900",
            "fax_number": "623-974-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCORMICARE SPEECH THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-974-8900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSCCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.