Organization Active NPI

Magellan Health Services of Arizona, Inc

  • Case Management Agency
  • Gilbert, AZ
National Provider Identifier
1194965145
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
BH3281 Issued in AZ
Legal business name
MAGELLAN HEALTH SERVICES OF ARIZONA, INC
Practice address
5222 E Baseline Rd
Gilbert, AZ 85234-2963
Phone
(602) 273-2300
NPI assigned
Mar 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Mr. Richard T Clarke
Title
Chief Executive Officer
Phone
(602) 797-8345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X BH3281 AZ Primary

Addresses

Primary practice location

5222 E Baseline Rd
Gilbert, AZ 85234-2963

Mailing address

4129 E Van Buren St Ste 250
Phoenix, AZ 85008-6939
Phone (602) 273-2300

Other names 1

  • Maricopa Clinic Gateway Other name

National Provider Directory

National Provider Directory

Locations

5222 E Baseline Rd
Gilbert, AZ 85234
Phone (602) 273-2300

1930 S Alma School Rd
#D207
Mesa, AZ 85210
Phone (480) 838-5550

1930 S Alma School Rd
Ste C209
Mesa, AZ 85210
Phone (480) 838-5550

1930 S Alma School Rd
Ste A214
Mesa, AZ 85210
Phone (480) 838-5550

10240 N 31st Ave
Ste 220
Phoenix, AZ 85051
Phone (602) 997-9006

3640 W Osborn Rd
Phoenix, AZ 85019
Phone (602) 269-5300

5030 W McDowell Rd
Ste 15
Phoenix, AZ 85035
Phone (602) 278-1414

3311 N 44th St
#150
Phoenix, AZ 85018
Phone (602) 957-2220

1035 E Jefferson St
#100
Phoenix, AZ 85034
Phone (602) 252-6731

14040 N Cave Creek Rd
#203
Phoenix, AZ 85022
Phone (602) 992-9336

3227 E Bell Rd
Ste D160
Phoenix, AZ 85032
Phone (602) 652-3500

5030 W McDowell Rd
Ste 17
Phoenix, AZ 85035
Phone (602) 278-1414

14040 N Cave Creek Rd
Ste 206
Phoenix, AZ 85022
Phone (602) 992-9336

4129 E Van Buren St
Ste 250
Phoenix, AZ 85008
Phone (602) 652-5889

6330 E Thomas Rd
Ste 200
Scottsdale, AZ 85251
Phone (480) 994-5211

634 W Wickenburg Way
#D
Wickenburg, AZ 85390
Phone (928) 684-5131

Practitioners & affiliated clinicians

Practitioners 190

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 190

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1194965145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 E VAN BUREN ST STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086939",
            "telephone_number": "602-273-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 E BASELINE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342963",
            "telephone_number": "602-273-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGELLAN HEALTH SERVICES OF ARIZONA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "602-797-8345",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AZ",
            "license": "BH3281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maricopa Clinic Gateway",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 4, 2009; 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.