Active NPI
Steven Dinerman
- Speech-Language Pathologist
- Prescott, AZ
National Provider Identifier
1861532046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP4657
- Practice address
- 519 E Virginia PL
Prescott, AZ 86301-3129 - Phone
- (928) 713-0018
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP4657 | AZ | Primary |
Addresses
Primary practice location
519 E Virginia PL
Prescott, AZ 86301-3129
Mailing address
1150 N Cottonwood Spring Dr
Dewey, AZ 86327-5407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP4657 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prescott Speech & Language Services Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| High Country Early Intervention Inc | Speech-Language Pathologist | Past | Accepting new patients |
Locations
812 Valley St
Prescott, AZ 86305
Phone (928) 445-1309
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Prescott, AZ
- NPI 1891831509
-
- Home Health Agency
- Prescott, AZ
- NPI 1144332107
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355788800000",
"number": "1861532046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 N COTTONWOOD SPRING DR",
"city": "DEWEY",
"state": "AZ",
"postal_code": "863275407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 E VIRGINIA PL",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863013129",
"telephone_number": "928-713-0018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINERMAN",
"first_name": "STEVEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2012-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP4657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.