Phoenix Feeding Therapy, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00754700 Issued in NJ

Legal business name

PHOENIX FEEDING THERAPY, PLLC

Practice address

7813 N 13TH Ave
Phoenix, AZ 85021-7121

Phone

(602) 740-6230

NPI assigned

Mar 12, 2018

Last updated

Nov 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Meghan Quan, CCC-SLPNPI 1104294925

Title

Owner

Phone

(602) 740-6230

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Meghan Quan, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Lawrenceville, NJ
  • NPI 1104294925
  NPD Authorized official

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1932602422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BRAEBURN DR",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7813 N 13TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217121",
            "telephone_number": "602-740-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX FEEDING THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "QUAN",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-740-6230",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00754700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Family Medical Care PLLC
• Phoenix Family Medicine, PC
• Phoenix Family Physicians, LTD.
• Phoenix Family Wellness PLLC
• Phoenix Federal Correctional Institute
• Phoenix First Assist LLC
• Phoenix First Assists LLC
• Phoenix Foot & Ankle Associates PC
• Phoenix Gi Associates PC
• Phoenix Gospel Mission, Inc. Dba Phoenix Rescue Mission (Phoenix Rescue Mission)

• 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 Nov 24, 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.