NPIMap

Organization Active NPI

Community Connections, LLC Outpatient Clinic

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1093013633
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH3806 Issued in AZ
Legal business name
COMMUNITY CONNECTIONS, LLC OUTPATIENT CLINIC
Practice address
19841 N 27TH Ave
Suite #202
Phoenix, AZ 85027-4003
Phone
(602) 283-5267
NPI assigned
Mar 7, 2011
Last updated
Mar 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Joel Temple
Title
Ceo
Phone
(602) 509-5248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH3806 AZ Primary

Addresses

Primary practice location

19841 N 27TH Ave
Suite #202
Phoenix, AZ 85027-4003

Mailing address

9208 N 83Rd PL
Scottsdale, AZ 85258-1884

National Provider Directory

National Provider Directory
Tax ID family
Community Connections LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19841 N 27th Ave
Ste 202
Phoenix, AZ 85027
Phone (602) 283-5267

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1093013633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9208 N 83RD PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19841 N 27TH AVE",
            "address_2": "SUITE #202",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274003",
            "telephone_number": "602-283-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CONNECTIONS, LLC OUTPATIENT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "TEMPLE",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-509-5248"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH3806",
            "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 Mar 7, 2011; 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.