Organization Active NPI

East Valley Pcit, PLLC

  • Clinical Social Worker
  • Chandler, AZ
National Provider Identifier
1184138588
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-16868 Issued in AZ
Legal business name
EAST VALLEY PCIT, PLLC
Practice address
955 W Chandler Blvd Ste 2
Chandler, AZ 85225-4906
Phone
(602) 777-7528
Fax
(602) 900-0996
NPI assigned
Nov 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Authorized official

Name
Ashley Delucenay Bratcher, LCSWNPI 1932238532
Title
Owner/Therapist
Phone
(602) 777-7528

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 LCSW-16868 AZ Primary

Addresses

Primary practice location

955 W Chandler Blvd Ste 2
Chandler, AZ 85225-4906

Mailing address

955 W Chandler Blvd Ste 2
Chandler, AZ 85225-4906
Phone (602) 777-7528

National Provider Directory

National Provider Directory

Locations

955 W Chandler Blvd
Ste 2
Chandler, AZ 85225
Phone (480) 917-0500

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": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1184138588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 W CHANDLER BLVD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852254906",
            "telephone_number": "602-777-7528",
            "fax_number": "602-900-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 W CHANDLER BLVD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852254906",
            "telephone_number": "602-777-7528",
            "fax_number": "602-900-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY PCIT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "BRATCHER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "DELUCENAY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "602-777-7528",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-16868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.