Mesa Public Schools

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP0516 Issued in AZ

Legal business name

MESA PUBLIC SCHOOLS

Practice address

1025 N Country Club Dr
Mesa, AZ 85201-3307

Phone

(480) 472-0727

Fax

(480) 472-0705

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Anita Wooten Morse, M.S.

Title

Speech & Language Pathologist

Phone

(480) 472-3539

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mesa Public Schools2 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.

• Mesa Unified School District No. 4

  • Local Education Agency (LEA)
  • Mesa, AZ
  • NPI 1346388287
  NPD tax ID

Locations

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992869580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 W GARY CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852332050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 N COUNTRY CLUB DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013307",
            "telephone_number": "480-472-0727",
            "fax_number": "480-472-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA PUBLIC SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "WOOTEN",
        "authorized_official_title_or_position": "SPEECH & LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "480-472-3539",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580028",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mesa Outpatient Treatment Center LLC
• Mesa Pain Center LLC
• Mesa Pavilions Dental LLC
• Mesa Physical Medicine PLLC
• Mesa Physician Group
• Mesa Regen Group, LLC
• Mesa Serenity Assisted Living Home LLC
• Mesa Smiles Dentistry
• Mesa Surgery Center LLC
• Mesa Surgical Center, LLC

• Speech-Language Pathologist in Mesa, AZ
• Providers in Mesa, 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 Aug 22, 2020; 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.