NPIMap

Organization Active NPI

Chicanos Por la Causa

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
National Provider Identifier
1235236506
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
BH-2612 Issued in AZ
Legal business name
CHICANOS POR LA CAUSA
Practice address
6741 N. 7TH St.
Phoenix, AZ 85014
Phone
(602) 248-0428
Fax
(602) 248-0496
NPI assigned
Sep 20, 2006
Organization subpart
Yes
Parent organization
CHICANOS POR LA CAUSA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Mr. Edmundo Hidalgo
Title
Ceo
Phone
(602) 257-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X BH-2612 AZ Primary

Addresses

Primary practice location

6741 N. 7TH St.
Phoenix, AZ 85014

Mailing address

1112 E. Buckeye Rd.
Phoenix, AZ 85034
Phone (602) 257-0700

Other identifiers 1

IdentifierTypeStateIssuer
003072MedicaidAZ

Other names 1

  • Parenting Arizona Other name

National Provider Directory

National Provider Directory
Tax ID family
Chicanod Por la Causa10 organizations share this tax ID, including this one
Part of
Chicanod Por la Causa

Other organizations with this tax ID 9

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

Locations

6741 N 7th St
Phoenix, AZ 85014
Phone (602) 248-0428

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1235236506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 E. BUCKEYE RD.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85034",
            "telephone_number": "602-257-0700",
            "fax_number": "602-307-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 N. 7TH ST.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85014",
            "telephone_number": "602-248-0428",
            "fax_number": "602-248-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICANOS POR LA CAUSA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHICANOS POR LA CAUSA, INC.",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "HIDALGO",
        "authorized_official_first_name": "EDMUNDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-257-0700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AZ",
            "license": "BH-2612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003072",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parenting Arizona",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.