NPIMap

Organization Active NPI

Chicanos Por la Causa Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
National Provider Identifier
1255416103
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
BH-1586 Issued in AZ
Legal business name
CHICANOS POR LA CAUSA INC
Practice address
6850 W Indian School Rd
Phoenix, AZ 85033-3300
Phone
(232) 470-4646
NPI assigned
Oct 26, 2006
Last updated
Aug 14, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CHICANOS POR LA CAUSA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Mr. Andres Contreras
Title
Executive Vice President
Phone
(602) 257-0700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X BH 1586 AZ
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X BH-1586 AZ Primary

Addresses

Primary practice location

6850 W Indian School Rd
Phoenix, AZ 85033-3300

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
112219MedicaidAZ

Other names 1

  • Centro de la Familia Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050305000056 AZ Part B Supplier - Clinic/Group Practice 4587618285 Receives reassigned benefits from 3 practitioners
4 other NPIs on this enrollment
Practice locations: Mesa, AZ; Phoenix, AZ

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Chicanos Por la Causa Inc10 organizations share this tax ID, including this one
Part of
Chicanos Por la Causa Inc

Other organizations with this tax ID 9

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

Locations

4602 W Indian School Rd
Phoenix, AZ 85031

Interoperability endpoints

  • Direct secure messaging: aaron.edwards-mmcplc@contexture.medalliesmail.com
  • Direct secure messaging: brandy.hammond-mmcplc@contexture.medalliesmail.com
  • Direct secure messaging: susan.nammalijan-mmcplc@contexture.medalliesmail.com

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1255416103",
    "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": "6850 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850333300",
            "telephone_number": "232-470-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICANOS POR LA CAUSA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHICANOS POR LA CAUSA, INC.",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "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 1586",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AZ",
            "license": "BH-1586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112219",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro de la Familia",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Centro de la Familia",
            "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 Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.