Active NPI
Excentra Consulting LLC
- Developmentally Disabled Services Day Training Agency
- Mesa, AZ
National Provider Identifier
1174335426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- EXCENTRA CONSULTING LLC
- Practice address
- 8947 E Quill St
Mesa, AZ 85207-9724 - Phone
- (602) 451-4799
- NPI assigned
- Jan 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marti Cies Depue, MSED
- Title
- President
- Phone
- (602) 451-4799
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
8947 E Quill St
Mesa, AZ 85207-9724
Mailing address
8947 E Quill St
Mesa, AZ 85207-9724
Phone (602) 451-4799
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737590400000",
"number": "1174335426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8947 E QUILL ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852079724",
"telephone_number": "602-451-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8947 E QUILL ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852079724",
"telephone_number": "602-451-4799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCENTRA CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-23",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A",
"authorized_official_last_name": "DEPUE",
"authorized_official_first_name": "MARTI",
"authorized_official_middle_name": "CIES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-451-4799",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSED"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
- Evolve Diagnostics
- Evolve Health and Weight Solutions PLLC
- Becki Ewy, CPNP-PC
- Excel Behavioral Health Services LLC
- Excel Surgical Center LLC
- Executive Voice Enterprises, LLC
- Expert Az Eyecare LLC (Golden Hills Optical)
- Experts on Sight - Mesa LLC (Abbott Eye Care A Division of Experts On Sight)
- Thaliabel Exposito
- Express Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.