Dembro Outpatient Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DEMBRO OUTPATIENT SERVICES

Practice address

3101 N Central Ave Ste 220
Phoenix, AZ 85012-2645

Phone

(623) 695-6045

NPI assigned

Feb 25, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Shanna Michelle Demus

Title

Chief Administrative Officer

Phone

(623) 695-6045

Specialties & licenses 1

Addresses

Tax ID family

Dembro Outpatient Services2 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.

• Dembro Outpatient Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Casa Grande, AZ
  • NPI 1407612286
  NPD tax ID

Locations

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1245864636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122645",
            "telephone_number": "623-695-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMBRO OUTPATIENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "DEMUS",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "623-695-6045",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janeen Alice Demarte, PH.D.
• Bruce J Demartino, D.C.
• Larry Ross Demas, M.D.
• Matthew Demattei, M. ED.
• Dania Demauro
• Harold Scott Demby
• Kimberly K Demchak, PNP
• Daphne E Demello, M.D.
• John Haynes Demenkoff, M.D.
• Jacob Demenna, MD

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.