NPIMap

Organization Active NPI

The Excel Group

  • Mental Illness Intermediate Care Facility
  • Yuma, AZ
National Provider Identifier
1104091701
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
License
F401029-1 Issued in NY
Legal business name
THE EXCEL GROUP
Practice address
106 E 1St St
Yuma, AZ 85364-1450
Phone
(928) 341-0409
Fax
(928) 329-8950
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Miss Denise Ann Rouba, PMHNP
Title
Pmhnp/PNP
Phone
(928) 341-0409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X F401029-1 NY Primary

Addresses

Primary practice location

106 E 1St St
Yuma, AZ 85364-1450

Mailing address

106 East First Street
Yuma, AZ 85364-1450
Phone (928) 341-0409

National Provider Directory

National Provider Directory
Tax ID family
The Excel Group14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1104091701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 EAST FIRST STREET",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853641450",
            "telephone_number": "928-341-0409",
            "fax_number": "928-329-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E 1ST ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853641450",
            "telephone_number": "928-341-0409",
            "fax_number": "928-329-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EXCEL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "ROUBA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PMHNP/PNP",
        "authorized_official_telephone_number": "928-341-0409",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "NY",
            "license": "F401029-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.