Organization Active NPI

US Vets-Arizona

  • Case Management Agency
  • Phoenix, AZ
National Provider Identifier
1255818100
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
US VETS-ARIZONA
Practice address
3400 Grand Ave
Phoenix, AZ 85017-4507
Phone
(602) 739-2552
NPI assigned
Jul 24, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Michelle Jameson
Title
Executive Director
Phone
(602) 501-5548

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

3507 N Central Ave
Phoenix, AZ 85012
Phone (480) 692-1153

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X LISAC-11703 AZ
Case Management Agency 251B00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3400 Grand Ave
Phoenix, AZ 85017-4507

Mailing address

3507 N Central Ave
Phoenix, AZ 85012-2118
Phone (602) 501-5548

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2018.

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1255818100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122118",
            "telephone_number": "602-501-5548",
            "fax_number": "602-441-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 GRAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174507",
            "telephone_number": "602-739-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US VETS-ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "JAMESON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-501-5548"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-11703",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 24, 2018; 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.