Organization Active NPI

Practical Development

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Prescott, AZ
National Provider Identifier
1114309945
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PRACTICAL DEVELOPMENT
Practice address
1965 Commerce Center Cir
Suite C
Prescott, AZ 86301-4484
Phone
(928) 237-9378
Fax
(954) 746-8231
NPI assigned
Jun 29, 2015
Last updated
Jun 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Clint Richards
Title
Program Director
Phone
(928) 237-9378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1965 Commerce Center Cir
Suite C
Prescott, AZ 86301-4484

Mailing address

1965 Commerce Center Cir
Suite C
Prescott, AZ 86301-4484

National Provider Directory

National Provider Directory

Locations

1965 Commerce Center Cir
Ste C
Prescott, AZ 86301
Phone (928) 237-9378

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1114309945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 COMMERCE CENTER CIR",
            "address_2": "SUITE C",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863014484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 COMMERCE CENTER CIR",
            "address_2": "SUITE C",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863014484",
            "telephone_number": "928-237-9378",
            "fax_number": "954-746-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICAL DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "928-237-9378"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.