Organization Active NPI

June Siegel MSW Cisw PC

  • Adult Mental Health Clinic/Center
  • Mesa, AZ
National Provider Identifier
1003935289
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
LCSW 0821 Issued in AZ
Legal business name
JUNE SIEGEL MSW CISW PC
Practice address
1830 S Alma School Rd
Suite 135
Mesa, AZ 85210-3056
Phone
(480) 491-4840
Fax
(480) 491-5327
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Ms. June SiegelNPI 1851481659
Title
Owner
Phone
(480) 491-4840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X LCSW 0821 AZ Primary

Addresses

Primary practice location

1830 S Alma School Rd
Suite 135
Mesa, AZ 85210-3056

Mailing address

1830 S Alma School Rd
Suite 135
Mesa, AZ 85210-3056
Phone (480) 491-4840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100325000007 AZ Part B Supplier - Clinic/Group Practice 8921134362 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

1830 S Alma School Rd
Mesa, AZ 85210
Phone (480) 730-6222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1003935289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD",
            "address_2": "SUITE 135",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103056",
            "telephone_number": "480-491-4840",
            "fax_number": "480-491-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD",
            "address_2": "SUITE 135",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103056",
            "telephone_number": "480-491-4840",
            "fax_number": "480-491-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNE SIEGEL MSW CISW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-491-4840",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AZ",
            "license": "LCSW 0821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.