NPIMap

Organization Active NPI

Terros Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glendale, AZ
National Provider Identifier
1174728646
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
OTC-5659 Issued in AZ
Legal business name
TERROS INC
Practice address
6151-6153 W Olive Ave
Glendale, AZ 85302-4598
Phone
(602) 685-6000
Fax
(602) 389-3599
NPI assigned
Jun 15, 2007
Organization subpart
Yes
Parent organization
TERROS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Mrs. Karen Hoffman Tepper, PH.D
Title
President & Ceo
Phone
(602) 685-6000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X OTC-5659 AZ Primary
Primary Care Clinic/Center 261QP2300X
Recovery Care Clinic/Center 261QR0800X

Addresses

Primary practice location

6151-6153 W Olive Ave
Glendale, AZ 85302-4598

Mailing address

3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Phone (602) 685-6000

Other identifiers 1

IdentifierTypeStateIssuer
103355MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050429000811 AZ Part B Supplier - Clinic/Group Practice 8224077045 Receives reassigned benefits from 120 practitioners
27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tucson, AZ; Tempe, AZ; Phoenix, AZ; Flagstaff, AZ; Glendale, AZ; Kingman, AZ; Mesa, AZ

Other NPIs on the same Medicare enrollment 21

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • Terros Inc
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Glendale, AZ
    • NPI 1053104612

    O20050429000811

    Same enrollment
  • Terros Inc
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Phoenix, AZ
    • NPI 1326555376

    O20050429000811

    Same enrollment
  • Terros Inc
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Mesa, AZ
    • NPI 1356202360

    O20050429000811

    Same enrollment
  • Terros Inc
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Phoenix, AZ
    • NPI 1730868621

    O20050429000811

    Same enrollment
  • Terros Inc
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Phoenix, AZ
    • NPI 1801362488

    O20050429000811

    Same enrollment
  • Terros Inc
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Kingman, AZ
    • NPI 1891580288

    O20050429000811

    Same enrollment
  • Terros, Inc
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Phoenix, AZ
    • NPI 1245615780

    O20050429000811

    Same enrollment
  • Terros, Inc
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Flagstaff, AZ
    • NPI 1942921580

    O20050429000811

    Same enrollment
  • Terros, Inc
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Tempe, AZ
    • NPI 1972988657

    O20050429000811

    Same enrollment
  • Terros, Inc.
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Tucson, AZ
    • NPI 1295129823

    O20050429000811

    Same enrollment
  • Terros, Inc.
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Phoenix, AZ
    • NPI 1295784817

    O20050429000811

    Same enrollment
  • Terros, Inc.
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Phoenix, AZ
    • NPI 1447081385

    O20050429000811

    Same enrollment
View all 21

National Provider Directory

National Provider Directory
Part of
Terrosinc

Practitioners & affiliated clinicians

Practitioners 10

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": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1174728646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122929",
            "telephone_number": "602-685-6000",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151-6153 W OLIVE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024598",
            "telephone_number": "602-685-6000",
            "fax_number": "602-389-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERROS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TERROS, INC",
        "enumeration_date": "2007-06-15",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "TEPPER",
        "authorized_official_first_name": "KAREN HOFFMAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "602-685-6000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AZ",
            "license": "OTC-5659",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103355",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.