Imhr Epicenter

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IMHR EPICENTER

Practice address

1415 N 1St St
Phoenix, AZ 85004-1604

Phone

(602) 321-5738

NPI assigned

Apr 8, 2016

Last updated

Apr 8, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

INSTITUTE FOR MENTAL HEALTH RESEARCHAs reported in NPPES

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

Authorized official

Name

Carol Lagesse

Title

Operations Director

Phone

(602) 321-5738

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1023472610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 N 1ST ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N 1ST ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041604",
            "telephone_number": "602-321-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMHR EPICENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSTITUTE FOR MENTAL HEALTH RESEARCH",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "LAGESSE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "602-321-5738"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.