Empact - Suicide Prevention Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EMPACT - SUICIDE PREVENTION CENTER

Practice address

914 S 52ND St
Tempe, AZ 85281-9500

Phone

(480) 784-1514

Fax

(480) 967-3528

NPI assigned

Oct 11, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Erica Chestnut-Ramirez, MC, LIAC

Title

Regional Vice President

Phone

(480) 784-1514

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Eddy De Los Santos, M.D.

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1154409324
  NPD (past)
• Michelle R. Ford, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tempe, AZ
  • NPI 1245940014
  NPD (past)

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1164972485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 S MADISON DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852817248",
            "telephone_number": "480-784-1514",
            "fax_number": "480-967-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 S 52ND ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852819500",
            "telephone_number": "480-784-1514",
            "fax_number": "480-967-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPACT - SUICIDE PREVENTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "CHESTNUT-RAMIREZ",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "REGIONAL VICE PRESIDENT",
        "authorized_official_telephone_number": "480-784-1514",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MC, LIAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy A Emerson, LCSW
• Emma Hertzel LCSW LLC
• Jamie Emmert
• Empact
• Empact - Suicide Prevention Center
• Empact - Suicide Prevention Center
• Empact - Suicide Prevention Center
• Empact-Suicide Prevention Center
• Empact-Suicide Prevention Center
• Empower Wellness Endocrinology & Metabolism P.a.

• Community/Behavioral Health Agency in Tempe, AZ
• Providers in Tempe, 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 Jul 28, 2025; 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.