NPIMap

Organization Active NPI

Westside Speech & Language

  • Early Intervention Provider Agency
  • Phoenix, AZ
National Provider Identifier
1700138369
Registry record updated Oct 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
#SLPA6722 Issued in AZ
Legal business name
WESTSIDE SPEECH & LANGUAGE
Practice address
4307 N 87TH Dr
Phoenix, AZ 85037-1701
Phone
(602) 882-0628
NPI assigned
Oct 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2012

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

Authorized official

Name
Mrs. Christine B. Santa Cruz
Title
Speech-Language Pathology Assistant
Phone
(602) 882-0628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X #SLPA6722 AZ Primary

Addresses

Primary practice location

4307 N 87TH Dr
Phoenix, AZ 85037-1701

Mailing address

4307 N 87TH Dr
Phoenix, AZ 85037-1701
Phone (602) 882-0628

National Provider Directory

National Provider Directory
Tax ID family
Westside Speech Language2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1349568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349568000000",
    "number": "1700138369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 N 87TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850371701",
            "telephone_number": "602-882-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 N 87TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850371701",
            "telephone_number": "602-882-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE SPEECH & LANGUAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-07",
        "last_updated": "2012-10-07",
        "status": "A",
        "authorized_official_last_name": "SANTA CRUZ",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGY ASSISTANT",
        "authorized_official_telephone_number": "602-882-0628",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "AZ",
            "license": "#SLPA6722",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 7, 2012; 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.