Organization Active NPI

The Act of Healing LLC

  • Clinical Social Worker
  • Gilbert, AZ
National Provider Identifier
1174979603
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16081 Issued in AZ
Legal business name
THE ACT OF HEALING LLC
Practice address
1166 E Warner Rd
Suite 101T
Gilbert, AZ 85296-3064
Phone
(480) 375-1317
NPI assigned
May 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Benjamin J De JesusNPI 1649695164
Title
Owner
Phone
(480) 375-1317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 16081 AZ Primary

Addresses

Primary practice location

1166 E Warner Rd
Suite 101T
Gilbert, AZ 85296-3064

Mailing address

1166 E Warner Rd
Suite 101T
Gilbert, AZ 85296-3064
Phone (480) 375-1317

Other identifiers 1

IdentifierTypeStateIssuer
1649695164OtherAZINDIVIDUAL NPI NUMBER

National Provider Directory

National Provider Directory

Locations

1166 E Warner Rd
Ste 101T
Gilbert, AZ 85296
Phone (480) 375-1317

Practitioners & affiliated clinicians

Practitioners 1

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": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1174979603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 E WARNER RD",
            "address_2": "SUITE 101T",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963064",
            "telephone_number": "480-375-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 E WARNER RD",
            "address_2": "SUITE 101T",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963064",
            "telephone_number": "480-375-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ACT OF HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-375-1317"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "16081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1649695164",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.