Organization Active NPI

Manes and Miracles

  • Community/Behavioral Health Agency
  • San Tan Valley, AZ
National Provider Identifier
1013486943
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MANES AND MIRACLES
Practice address
43421 N Friend Ave
San Tan Valley, AZ 85140-9621
Phone
(480) 359-6470
NPI assigned
Nov 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Authorized official

Name
Lindsey Pittman
Title
Director
Phone
(480) 389-7936

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

43421 N Friend Ave
San Tan Valley, AZ 85140-9621

Mailing address

1180 W Rosemary Ave
Queen Creek, AZ 85140-7689
Phone (480) 389-7936

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1013486943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 W ROSEMARY AVE",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851407689",
            "telephone_number": "480-389-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43421 N FRIEND AVE",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851409621",
            "telephone_number": "480-359-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANES AND MIRACLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-389-7936"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.