Organization Active NPI

The Action Program LLC

  • Substance Abuse Rehabilitation Facility
  • Tempe, AZ
National Provider Identifier
1225821564
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
THE ACTION PROGRAM LLC
Practice address
1400 S McClintock Dr Ste 2
Tempe, AZ 85281-6022
Phone
(480) 228-1053
NPI assigned
May 28, 2025
Last updated
May 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Dr. Dwayne E McIntosh, CEO
Title
Ceo
Phone
(480) 228-1053

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1400 S McClintock Dr Ste 2
Tempe, AZ 85281-6022

Mailing address

1400 S McClintock Dr Ste 2
Tempe, AZ 85281-6022
Phone (480) 228-1053

National Provider Directory

National Provider Directory
Tax ID family
The Action Program LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1400 S McClintock Dr
Ste 2
Tempe, AZ 85281
Phone (480) 228-1053

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1225821564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S MCCLINTOCK DR STE 2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816022",
            "telephone_number": "480-228-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S MCCLINTOCK DR STE 2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816022",
            "telephone_number": "480-228-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ACTION PROGRAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-228-1053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 28, 2025; 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.