NPIMap

Organization Active NPI

Infant Child Research Program

  • Early Intervention Provider Agency
  • Tempe, AZ
National Provider Identifier
1164660908
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
INFANT CHILD RESEARCH PROGRAM
Practice address
Infant Child Research Program at Asu
200 E. Curry Road
Tempe, AZ 85287-0001
Phone
(480) 965-9396
Fax
(480) 965-0965
NPI assigned
Feb 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Ms. Kathie Smith
Title
Administrative Assistant
Phone
(480) 965-9396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

Infant Child Research Program at Asu
200 E. Curry Road
Tempe, AZ 85287-0001

Mailing address

Infant Child Research Program at Asu
PO Box 871908
Tempe, AZ 85287-0001
Phone (480) 965-9396

National Provider Directory

National Provider Directory
Tax ID family
Arizona State University Campus Health Pharmacy13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

200 E Curry Rd
Tempe, AZ 85281
Phone (480) 965-1082

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1164660908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "INFANT CHILD RESEARCH PROGRAM AT ASU",
            "address_2": "PO BOX 871908",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852870001",
            "telephone_number": "480-965-9396",
            "fax_number": "480-965-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INFANT CHILD RESEARCH PROGRAM AT ASU",
            "address_2": "200 E. CURRY ROAD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852870001",
            "telephone_number": "480-965-9396",
            "fax_number": "480-965-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFANT CHILD RESEARCH PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KATHIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "480-965-9396",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.