Active NPI
The Action Program LLC
- Counselor
- Scottsdale, AZ
National Provider Identifier
1245904283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- THE ACTION PROGRAM LLC
- Practice address
- 7373 E Doubletree Ranch Rd Ste 135
Scottsdale, AZ 85258-2036 - Phone
- (480) 228-1053
- NPI assigned
- Aug 3, 2021
- Last updated
- May 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dwayne McIntosh, PH.D
- Title
- Owner
- Phone
- (480) 288-1053
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Mental Health Counselor | 101YM0800X | |||
| Pastoral Counselor | 101YP1600X | |||
| Professional Counselor | 101YP2500X | |||
| Social Worker | 104100000X | |||
| Behavior Technician | 106S00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Voluntary or Charitable Agency | 251V00000X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | |||
| Child Mental Illness Respite Care | 385HR2055X |
Addresses
Primary practice location
7373 E Doubletree Ranch Rd Ste 135
Scottsdale, AZ 85258-2036
Mailing address
2915 E Harwell Rd
Gilbert, AZ 85234-1453
Phone (480) 228-1053
National Provider Directory
National Provider Directory- Tax ID family
- The Action Program LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Tempe, AZ
- NPI 1225821564
Locations
7373 E Doubletree Ranch Rd
Ste 135
Scottsdale, AZ 85258
Phone (480) 228-1053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715904000000",
"number": "1245904283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2915 E HARWELL RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852341453",
"telephone_number": "480-228-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7373 E DOUBLETREE RANCH RD STE 135",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852582036",
"telephone_number": "480-228-1053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE ACTION PROGRAM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-03",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A",
"authorized_official_last_name": "MCINTOSH",
"authorized_official_first_name": "DWAYNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-288-1053",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.