Easter Seals Blake Foundation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EASTER SEALS BLAKE FOUNDATION

Practice address

288 N Ironwood Dr Ste 115
Apache Junction, AZ 85120-3830

Phone

(480) 416-9851

NPI assigned

Jul 15, 2016

Last updated

Jul 15, 2016By 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

Alexis Renee Arenas, MAS-IFP, BHT

Title

Early Childhood Therapist

Phone

(480) 416-9851

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abby Davis

  • Counselor
  • Apache Junction, AZ
  • NPI 1811348881
  NPD (past)

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1164875969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 N IRONWOOD DR STE 115",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851203830",
            "telephone_number": "480-416-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 N IRONWOOD DR STE 115",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851203830",
            "telephone_number": "480-416-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS BLAKE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "ARENAS",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "EARLY CHILDHOOD THERAPIST",
        "authorized_official_telephone_number": "480-416-9851",
        "authorized_official_credential": "MAS-IFP, BHT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Claire Drum, PT, DPT
• Krista Duffel, M.S.,CCC-SLP
• Lamoine Ann Dugan
• Cathy Duncan, LPC
• Alexander Dupuis, FNP-C
• Eating for Life, LLC
• Lisa Eckert, MS
• Emergency Professional Services PC
• Empact - Suicide Prevention Center
• Empact - Suicide Prevention Center

• Clinic/Center in Apache Junction, AZ
• Providers in Apache Junction, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.