Organization Active NPI

Excentra Consulting LLC

  • Developmentally Disabled Services Day Training Agency
  • Mesa, AZ
National Provider Identifier
1174335426
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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

Updated by the provider on Jan 23, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.