Organization Active NPI

Humanitas Family Center LLC

  • Behavior Analyst
  • Tempe, AZ
National Provider Identifier
1194269415
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-10-6815 Issued in AZ
Legal business name
HUMANITAS FAMILY CENTER LLC
Practice address
701 W Grove Pkwy
#164
Tempe, AZ 85283-4501
Phone
(888) 909-8741
Fax
(805) 640-7844
NPI assigned
Dec 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Miguel Lopez Murillo
Title
Member
Phone
(888) 909-8741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-10-6815 AZ Primary

Addresses

Primary practice location

701 W Grove Pkwy
#164
Tempe, AZ 85283-4501

Mailing address

308 N Montgomery St
Ojai, CA 93023-2746
Phone (888) 909-8741

Other identifiers 1

IdentifierTypeStateIssuer
1-10-6815OtherAZBCBA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1194269415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N MONTGOMERY ST",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930232746",
            "telephone_number": "888-909-8741",
            "fax_number": "805-640-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W GROVE PKWY",
            "address_2": "#164",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852834501",
            "telephone_number": "888-909-8741",
            "fax_number": "805-640-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANITAS FAMILY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "LOPEZ MURILLO",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "888-909-8741"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "1-10-6815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-10-6815",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.