Active NPI
Construyendo Circulos de Paz, Inc.
- Community/Behavioral Health Agency
- Nogales, AZ
National Provider Identifier
1053573592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- BH-3001
- Legal business name
- CONSTRUYENDO CIRCULOS DE PAZ, INC.
- Practice address
- 1859 N Grand Ave
Suites 3 & 4
Nogales, AZ 85621-1386 - Phone
- (520) 281-0579
- Fax
- (520) 281-0493
- NPI assigned
- Jun 26, 2008
- Last updated
- Jun 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patti Rae Watson, ED.D.
- Title
- Clinical Director
- Phone
- (520) 281-0579
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | BH-3001 | AZ | Primary |
Addresses
Primary practice location
1859 N Grand Ave
Suites 3 & 4
Nogales, AZ 85621-1386
Mailing address
1859 N Grand Ave
Suites 3 & 4
Nogales, AZ 85621-1386
Phone (520) 281-0579
National Provider Directory
National Provider DirectoryLocations
1859 N Grand Ave
Ste 3
Nogales, AZ 85621
Phone (520) 281-0579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214438400000",
"number": "1053573592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1859 N GRAND AVE",
"address_2": "SUITES 3 & 4",
"city": "NOGALES",
"state": "AZ",
"postal_code": "856211386",
"telephone_number": "520-281-0579",
"fax_number": "520-281-0493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1859 N GRAND AVE",
"address_2": "SUITES 3 & 4",
"city": "NOGALES",
"state": "AZ",
"postal_code": "856211386",
"telephone_number": "520-281-0579",
"fax_number": "520-281-0493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONSTRUYENDO CIRCULOS DE PAZ, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-26",
"last_updated": "2008-06-26",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "PATTI",
"authorized_official_middle_name": "RAE",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "520-281-0579",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ED.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AZ",
"license": "BH-3001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nogales, AZ
- Codac Health, Recovery & Wellness, Inc.
- Community Intervention Associates (Community Health Associates)
- Community Medical Services Arizona-Private, LLC (Community Medical Services Nogales)
- Community Medical Services Arizona-Private, LLC (Community Medical Services)
- Jason Condro, DDS
- Corazon Inc. (Corazon Behavioral Health Service)
- Alva Leticia Corella, LPN
- Guy A Crawford, M.D.
- Sophia Alize Cuadras, RDH
- Fabiola G Cunningham, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.