Steadfast Partners, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STEADFAST PARTNERS, LLC

Practice address

20211 E Via del Oro
Queen Creek, AZ 85142-6270

Phone

(602) 816-5500

NPI assigned

Mar 27, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Pat Boulay Sr., HEALTH CARE ADMIN

Title

Owner

Phone

(602) 816-5500

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1255035119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20211 E VIA DEL ORO",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426270",
            "telephone_number": "602-816-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20211 E VIA DEL ORO",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426270",
            "telephone_number": "602-816-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEADFAST PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "BOULAY",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-816-5500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "HEALTH CARE ADMIN"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marisa Martineau Stephens, RDN

• Community/Behavioral Health Agency in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.