Monica Van Dinteren, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP7809 Issued in AZ

Practice address

3421 E Constance Way
Phoenix, AZ 85042-0012

Phone

(856) 816-7181

NPI assigned

Jun 28, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Out Loud LLC

  • Speech-Language Pathologist
  • Phoenix, AZ
  • NPI 1659062362
  NPD Authorized official
• Pioneer Pet, LLC

  • Diagnostic Radiology Physician
  • Tempe, AZ
  • NPI 1265401996
  NPD (past)

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1841554417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 E CONSTANCE WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850420012",
            "telephone_number": "856-816-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 E CONSTANCE WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850420012",
            "telephone_number": "856-816-7181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 E Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "85282",
            "country_code": "US",
            "telephone_number": "480-456-0719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DINTEREN",
        "first_name": "MONICA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP7809",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP7809",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "711458",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Mary Van Damme, PSYD
• George A Van de Wyngaerde, MD
• Isaiah Van Denend, PT, DPT
• Willem J Van Der Werf, M.D.
• Gary Mitchell Van Derveer, LMT
• Justin Van Duyne, LMT
• Olivia Claire Van Dyk
• Brynn Van Dyke, D.M.D
• Sandra Lynne Van Dyke, FNP-C
• Bailey Van Eyll, MD

• Speech-Language Pathologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.