NPIMap

Organization Active NPI

Catholic Charities Community Services

  • Community/Behavioral Health Agency
  • Kingman, AZ
National Provider Identifier
1114006129
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH2608 Issued in AZ
Legal business name
CATHOLIC CHARITIES COMMUNITY SERVICES
Practice address
519 Hall Street
Kingman, AZ 86401-6270
Phone
(928) 718-1117
Fax
(928) 718-1124
NPI assigned
Nov 2, 2006
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
Dr. Kristen J Schmidt, PHD
Title
Chief Operating Officer
Phone
(602) 285-1999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH2608 AZ Primary

Addresses

Primary practice location

519 Hall Street
Kingman, AZ 86401-6270

Mailing address

4747 N 7TH Avenue
Phoenix, AZ 85013-2401
Phone (602) 285-1999

Other identifiers 1

IdentifierTypeStateIssuer
110800OtherAZSTATE OF ARIZONA

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities Community Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

519 Hall St
Kingman, AZ 86401
Phone (928) 718-1117

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114006129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 N 7TH AVENUE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850132401",
            "telephone_number": "602-285-1999",
            "fax_number": "602-285-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 HALL STREET",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016270",
            "telephone_number": "928-718-1117",
            "fax_number": "928-718-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "602-285-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH2608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ARIZONA",
            "identifier": "110800",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

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.