Organization Active NPI

A to Z Family Services Inc.

  • Community/Behavioral Health Agency
  • Pocatello, ID
National Provider Identifier
1043438377
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
A TO Z FAMILY SERVICES INC.
Practice address
732 Washington Ave
Pocatello, ID 83201-3748
Phone
(208) 478-9822
Fax
(208) 478-6790
NPI assigned
Apr 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rebecca J Perrenoud, LCSW CIBI
Title
Director
Phone
(208) 785-1326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

732 Washington Ave
Pocatello, ID 83201-3748

Mailing address

732 Washington Ave
Pocatello, ID 83201-3748
Phone (208) 478-9822

Other identifiers 1

IdentifierTypeStateIssuer
8L345OtherIDBLUE CROSS POCATELLO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043438377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 WASHINGTON AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013748",
            "telephone_number": "208-478-9822",
            "fax_number": "208-478-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 WASHINGTON AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013748",
            "telephone_number": "208-478-9822",
            "fax_number": "208-478-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TO Z FAMILY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERRENOUD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "208-785-1326",
        "authorized_official_credential": "LCSW CIBI"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS POCATELLO",
            "identifier": "8L345",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.