KERRY MACK (NPI# 1518222678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518222678 |
| Entity Type | Individual |
| Full Name | KERRY MACK |
| Credential | M.S., SLP |
| Practice Address |
10049 E Dynamite Blvd Ste 110 Scottsdale AZ 85262-3694 |
| Mailing Address |
1109 W Newport Beach Dr Gilbert AZ 85233-6742 |
| Practice Telephone | 4804190848 |
| Mailing Telephone | 4802167433 |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP7367 | AZ | Speech, Language and Hearing Service Providers |
| Street Address |
10049 E DYNAMITE BLVD STE 110 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85262-3694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760024624 | Molly Friedley | Speech-Language Pathologist | 10049 E Dynamite Blvd Ste 110, Scottsdale, AZ 85262-3694 | 2019-10-11 |
| 1295381952 | Amirra Johnson | Occupational Therapist | 10049 E Dynamite Blvd Ste 110, Scottsdale, AZ 85262-3694 | 2019-08-16 |
| 1841709722 | Lauren Topolski | Occupational Therapist | 10049 E Dynamite Blvd Ste 110, Scottsdale, AZ 85262-3694 | 2017-09-24 |
| 1831628155 | Andrea Rose Faggionato | Speech-Language Pathologist | 10049 E Dynamite Blvd Ste 110, Scottsdale, AZ 85262-3694 | 2017-06-09 |
| 1891156881 | Kim Earnhart | Speech-Language Pathologist | 10049 E Dynamite Blvd Ste 110, Scottsdale, AZ 85262-3694 | 2016-03-17 |
| 1790117455 | Chana Marie King | Occupational Therapy Assistant | 10049 E Dynamite Blvd Ste 110, Scottsdale, AZ 85262-3694 | 2013-08-05 |
| 1841633724 | Amy Kirchner | Speech-Language Pathologist | 10049 E Dynamite Blvd Ste 110, Scottsdale, AZ 85262-3694 | 2013-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043773666 | Helpful Hands Home Care | Home Health Aide | 36595 N Montalcino Road, Scottsdale, AZ 85262 | 2019-04-10 |
| 1548789415 | Paige Richelle Breeden | Behavioral Analyst | 14608 E Skinner Dr, Scottsdale, AZ 85262 | 2017-09-12 |
| 1518342625 | Golf Health & Performance LLC | Physical Therapist | 10225 E Desert Mountain Dr, Scottsville, AZ 85262 | 2015-07-30 |
| 1649555608 | Terry Stephen Vitez | Anesthesiology | 9626 E. Taos Drive, Scottsdale, AZ 85262 | 2011-10-20 |
| 1578855573 | First Lifeconnect, LLC | Emergency Response System Companies | 13857 E Hawknest Road, Scottsdale, AZ 85262 | 2011-05-09 |
| 1801040878 | Matthew David Wickstrom | Psychologist | 27880 N 64th Street, Scottsdale, AZ 85262 | 2008-11-04 |
| 1639332802 | New Hope Ultimate | Clinic/Center | 13735 E Brookhart Way, Scottsdale, AZ 85262 | 2008-07-08 |
| 1548432701 | Talia Lavor | Physician Assistant | 28150 N Alma School Pkwy, Suite 103-455, Scottsdale, AZ 85262 | 2008-03-27 |
| 1548485907 | Lynn Klein | Psychologist | 4222 E. Camelback Rd, Suite 230h, Scottsdale, AZ 85262 | 2007-04-13 |
| 1912040510 | Jamie Linn Hestrup | Social Worker | 5802 E. Dove Valley Road, Scottsdale, AZ 85262 | 2007-02-14 |
| Find all providers in zip 85262 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319974 | Traci Marie Jones | Speech-Language Pathologist | 16819 N 50th Way, Scottsdale, AZ 85254-1089 | 2020-09-07 |
| 1235747841 | Barbara M Bloom | Speech-Language Pathologist | 5932 E Phelps Rd, Scottsdale, AZ 85254-9223 | 2020-07-20 |
| 1386110625 | Katelyn Scott | Speech-Language Pathologist | 14050 N Northsight Blvd, Scottsdale, AZ 85260-3601 | 2018-10-14 |
| 1285117812 | Arizona Pediatric Feeding & Therapy | Speech-Language Pathologist | 10592 E Firewheel Dr, Scottsdale, AZ 85255-1913 | 2018-09-10 |
| 1902386873 | Communication Zone | Speech-Language Pathologist | 8485 E Mcdonald Dr # 251, Scottsdale, AZ 85250-6335 | 2018-08-20 |
| 1053890541 | Irene Mitchell | Speech-Language Pathologist | 11445 E. Via Linda Suite 2235, Scottsdale, AZ 85259 | 2018-08-07 |
| 1114431996 | Anthony Michael Zasimovich IIi | Speech-Language Pathologist | 10190 E Cactus Rd, Scottsdale, AZ 85260-5114 | 2017-12-01 |
| 1972027290 | Ashley Annmarie Richardson | Speech-Language Pathologist | 6731 E Granada Rd, Scottsdale, AZ 85257 | 2017-07-28 |
| 1851814735 | Shoshannah Raquel Fowle | Speech-Language Pathologist | 7355 E Thompson Peak Pkwy Apt V2010, Scottsdale, AZ 85255-4478 | 2017-07-21 |
| 1417479445 | Kellene Anne Coffey | Speech-Language Pathologist | 5111 N Scottsdale Rd Ste 105, Scottsdale, AZ 85250-7076 | 2017-07-11 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85262 |
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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.