NPIMap

Organization Active NPI

Black Family and Child Services, Inc.

  • Counselor
  • Phoenix, AZ
National Provider Identifier
1053362368
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
BH 512 Issued in AZ
Legal business name
BLACK FAMILY AND CHILD SERVICES, INC.
Practice address
1522 E Southern Ave
Phoenix, AZ 85040-3543
Phone
(602) 243-1773
Fax
(602) 243-1483
NPI assigned
May 12, 2006
Last updated
Jan 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Ms. Mary M Black
Title
Executive Director
Phone
(602) 243-1498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X BH 512 AZ Primary

Addresses

Primary practice location

1522 E Southern Ave
Phoenix, AZ 85040-3543

Mailing address

1522 E Southern Ave
Phoenix, AZ 85040-3543
Phone (602) 243-1773

National Provider Directory

National Provider Directory
Tax ID family
Black Family and Child Services Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1053362368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 E SOUTHERN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850403543",
            "telephone_number": "602-243-1773",
            "fax_number": "602-243-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 E SOUTHERN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850403543",
            "telephone_number": "602-243-1773",
            "fax_number": "602-243-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK FAMILY AND CHILD SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-243-1498",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "BH 512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.