NPIMap

Organization Active NPI

Magellan Health SVCS. of Az, Inc. : Eligibility and Evaluations Dept

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1255594529
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MAGELLAN HEALTH SVCS. OF AZ, INC. : ELIGIBILITY AND EVALUATIONS DEPT
Practice address
4129 E Van Buren St Ste 150
Phoenix, AZ 85008-6939
Phone
(602) 273-2300
NPI assigned
Jul 8, 2008
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Chris Adam Carson, MD
Title
Chief Executive Officer
Phone
(602) 797-8333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X AZ Primary

Addresses

Primary practice location

4129 E Van Buren St Ste 150
Phoenix, AZ 85008-6939

Mailing address

4129 E Van Buren St Ste 150
Phoenix, AZ 85008-6939
Phone (602) 273-2300

Other names 1

  • Eligibility and Evaluations Department Other name

National Provider Directory

National Provider Directory
Tax ID family
Magellan Health SVCS of Az Inc Eligibility and Evaluations Dept4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1255594529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 E VAN BUREN ST STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086939",
            "telephone_number": "602-273-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 E VAN BUREN ST STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086939",
            "telephone_number": "602-273-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGELLAN HEALTH SVCS. OF AZ, INC. : ELIGIBILITY AND EVALUATIONS DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "602-797-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eligibility and Evaluations Department",
            "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 Jul 8, 2008; 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.