NPIMap

Organization Active NPI

Magellan Health

  • Health Maintenance Organization
  • Tempe, AZ
National Provider Identifier
1003087875
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
LCSW-12393 Issued in AZ
Legal business name
MAGELLAN HEALTH
Practice address
1956 E Chilton Dr
Tempe, AZ 85283-4950
Phone
(480) 456-1169
NPI assigned
Mar 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Mrs. Deborah Cheng, L.C.S.W
Title
Clinical Reviewer
Phone
(602) 273-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X LCSW-12393 AZ Primary

Addresses

Primary practice location

1956 E Chilton Dr
Tempe, AZ 85283-4950

Mailing address

1956 E Chilton Dr
Tempe, AZ 85283-4950
Phone (480) 456-1169

National Provider Directory

National Provider Directory
Tax ID family
Magellan Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1003087875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1956 E CHILTON DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852834950",
            "telephone_number": "480-456-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1956 E CHILTON DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852834950",
            "telephone_number": "480-456-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGELLAN HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CLINICAL REVIEWER",
        "authorized_official_telephone_number": "602-273-2300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AZ",
            "license": "LCSW-12393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.