Adapt LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

BA116 Issued in AZ

Legal business name

ADAPT LLC

Practice address

20780 W Ridge Rd
Buckeye, AZ 85396-7753

Phone

(562) 665-6226

NPI assigned

Apr 24, 2014

Last updated

Apr 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dana Michelle Stevens-Pellegrino, MA, BCBA, BHP

Title

Owner/Officer

Phone

(213) 864-1870

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1124448410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5614",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853380611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20780 W RIDGE RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853967753",
            "telephone_number": "562-665-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "STEVENS-PELLEGRINO",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/OFFICER",
        "authorized_official_telephone_number": "213-864-1870",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, BCBA, BHP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AZ",
            "license": "BA116",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "AZ",
            "license": "BA116",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BA116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.