Organization Active NPI

Teen Time Outreach

  • Public Health or Welfare Agency
  • Phoenix, AZ
National Provider Identifier
1275226623
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
TEEN TIME OUTREACH
Practice address
7830 N 27TH Ave
Phoenix, AZ 85051-6606
Phone
(602) 702-0017
NPI assigned
May 31, 2023
Last updated
Jun 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
Mr. Nigel Houston Jr.
Title
Director
Phone
(602) 702-0017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

7830 N 27TH Ave
Phoenix, AZ 85051-6606

Mailing address

7830 N 27TH Ave
Phoenix, AZ 85051-6606

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1275226623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850516606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850516606",
            "telephone_number": "602-702-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEN TIME OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "NIGEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-702-0017",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "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 Jun 9, 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.