THE CLUBHOUSE INNOVATIVE THERAPY CENTERS (NPI# 1467832196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467832196 |
| Entity Type | Organization |
| Organization Name | THE CLUBHOUSE INNOVATIVE THERAPY CENTERS |
| Practice Address |
4600 E Shea Blvd 101 Phoenix AZ 85028-6024 |
| Practice Telephone | 6023688601 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |
| Authorized Official Name | SALLY VULCANO (OWNER) |
| Authorized Official Telephone | 6023688601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
TSLP9431 | AZ | Ambulatory Health Care Facilities |
| Street Address |
4600 E SHEA BLVD 101 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-6024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821041344 | Therapy Time | Specialist/Technologist | 4600 E Shea Blvd, Suite 101, Phoenix, AZ 85028-6024 | 2006-05-18 |
| 1265969943 | Kirsten Bethancourt | Physical Therapist | 4600 E Shea Blvd, Suite 101, Phoenix, AZ 85028-6024 | 2017-05-12 |
| 1275064404 | Hannah Brennan | Occupational Therapist | 4600 E Shea Blvd, Suite 101, Phoenix, AZ 85028-6024 | 2017-03-21 |
| 1336689140 | Southwest Center for Oral Surgery, Pllc | Dentist | 4600 E Shea Blvd, #201, Phoenix, AZ 85028-6024 | 2017-02-27 |
| 1396287280 | Samantha Bookland Counseling, LLC | Counselor | 4600 E Shea Blvd, Phoenix, AZ 85028-6024 | 2016-11-09 |
| 1285091694 | Ashley Marie Adams | Speech-Language Pathologist | 4600 E Shea Blvd, Suite 101, Phoenix, AZ 85028-6024 | 2016-01-15 |
| 1467825273 | Skylar Elena Stiff | Speech-Language Pathologist | 4600 E Shea Blvd, Unit 101, Phoenix, AZ 85028-6024 | 2015-11-03 |
| 1336524255 | Kellie Wright | Speech-Language Pathologist | 4600 E Shea Blvd, #101, Phoenix, AZ 85028-6024 | 2015-07-21 |
| 1780068387 | Ashley Routh | Physical Therapist | 4600 E Shea Blvd, Phoenix, AZ 85028-6024 | 2015-07-13 |
| 1265824221 | Emily Pierson | Occupational Therapist | 4600 E Shea Blvd, Ste. 101, Phoenix, AZ 85028-6024 | 2015-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780198929 | Atkins Hearing Center, LLC | Clinic/Center | 2308 E Dolores Rd, Phoenix, AZ 85086-9329 | 2017-11-27 |
| 1740508746 | Hearing Aids Unlimited | Clinic/Center | 1512 W Bell Rd Ste 5, Phoenix, AZ 85023-3466 | 2010-05-14 |
| 1699329011 | Safe Swallow Az, Pllc | Clinic/Center | 2931 W Woodridge Dr, Phoenix, AZ 85053-2014 | 2019-07-25 |
| 1689227357 | Yona II, LLC | Clinic/Center | 11811 N Tatum Blvd Ste 3031, Phoenix, AZ 85028-1621 | 2019-07-22 |
| 1003327719 | Innovative Audiology and Hearing Clinic LLC | Clinic/Center | 26224 N Tatum Blvd Ste 14, Phoenix, AZ 85050-7500 | 2017-10-20 |
| 1073922290 | Excel Care Communications | Clinic/Center | 4203 E Indian School Rd, Suite 230, Phoenix, AZ 85018-5359 | 2014-08-13 |
| 1083887004 | Play and Education for The Development of Infants | Clinic/Center | 15414 N 7th St, Suite 3, Phoenix, AZ 85022-3519 | 2008-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346853397 | Legacy Hearing Professionals LLC | Clinic/Center | 1228 S Sossaman Rd Ste 103, Mesa, AZ 85209-3438 | 2020-08-28 |
| 1669097366 | Silvia None Davidson | Clinic/Center | 10001 W Bell Rd Ste 144, Sun City, AZ 85351-1286 | 2020-06-09 |
| 1649891771 | Better Hearing LLC | Clinic/Center | 4807 E Greenway Rd Ste 3, Scottsdale, AZ 85254-9608 | 2020-04-29 |
| 1477188001 | Dr. Lynne Remson, Stuttering Specialist, LLC | Clinic/Center | 7950 E. Acoma Dr., Ste 201, Scottsdale, AZ 85260 | 2020-03-04 |
| 1255801114 | Casa Speech Therapy, LLC | Clinic/Center | 137 E Mary Ln, Gilbert, AZ 85295-1453 | 2018-12-04 |
| 1306240817 | Therapy Tree, Pllc | Clinic/Center | 20329 N 59th Ave Ste A2, Glendale, AZ 85308-6854 | 2014-10-13 |
| 1255744454 | Crockett Ranch Therapy Services | Clinic/Center | 11705 N Us Highway 89, Flagstaff, AZ 86004-5327 | 2014-06-04 |
| 1598031650 | Crystal Clrar Hearing | Clinic/Center | 13925 W Meeker Blvd Ste 19, Sun City West, AZ 85375-4432 | 2012-03-22 |
| 1902107139 | Talk-n-tots, LLC | Clinic/Center | 20783 N 83rd Ave Ste 103265, Peoria, AZ 85382-7455 | 2010-11-04 |
| 1972826840 | Red Rock Hearing LLC | Clinic/Center | 210 Sunset Dr Ste C, Sedona, AZ 86336-5406 | 2010-03-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.