NPIMap

Organization Active NPI

Family Focus Speech Therapy

  • Speech-Language Pathologist
  • Avondale, AZ
National Provider Identifier
1659752863
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP5552 Issued in AZ
Legal business name
FAMILY FOCUS SPEECH THERAPY
Practice address
401 W Van Buren St Ste C
Avondale, AZ 85323-1306
Phone
(623) 505-6307
Fax
(602) 354-9408
NPI assigned
Jun 12, 2015
Last updated
May 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Mrs. Jovia D Dossou, M.S.,CCC-SLPNPI 1023292216
Title
Speech Language Pathologist
Phone
(602) 622-2420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP5552 AZ Primary

Addresses

Primary practice location

401 W Van Buren St Ste C
Avondale, AZ 85323-1306

Mailing address

7425 W Sophie LN
Laveen, AZ 85339-3481
Phone (602) 622-2420

Other identifiers 1

IdentifierTypeStateIssuer
1023292216MedicaidAZ

National Provider Directory

National Provider Directory

Locations

12725 W Indian School Rd
Ste F105
Avondale, AZ 85392

401 W Van Buren St
Ste C
Avondale, AZ 85323
Phone (623) 505-6307

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1659752863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 W SOPHIE LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393481",
            "telephone_number": "602-622-2420",
            "fax_number": "602-354-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W VAN BUREN ST STE C",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231306",
            "telephone_number": "623-505-6307",
            "fax_number": "602-354-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOCUS SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "DOSSOU",
        "authorized_official_first_name": "JOVIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "602-622-2420",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP5552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023292216",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.