Cimmaron Ash Behavioral Healthcare

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CIMMARON ASH BEHAVIORAL HEALTHCARE

Practice address

719 E Cottonwood LN
Casa Grande, AZ 85122-2700

Phone

(520) 858-0261

Fax

(520) 858-0260

NPI assigned

Feb 12, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Kiyana V Brutus, PMHNPNPI 1548327356

Title

Owner/Medical Director

Phone

(480) 694-2574

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kiyana Brutus, RN NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
  • NPI 1548327356
  NPD Authorized official

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1285966424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 E COTTONWOOD LN",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222700",
            "telephone_number": "520-858-0261",
            "fax_number": "520-858-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 E COTTONWOOD LN",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222700",
            "telephone_number": "520-858-0261",
            "fax_number": "520-858-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIMMARON ASH BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "BRUTUS",
        "authorized_official_first_name": "KIYANA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-694-2574",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shingairai B Chiwara
• Daniel Myunghun Choi, MD
• Shreya Paresh Chollera
• Andrew Chun
• Daniel Chung, M.D.
• Citrus Canyon Care
• City of Casa Grande
• Eleanor Ann Clark, M.D.
• Ginger K Clark, RPH
• Letoia Clark, PHARMD

• Behavior Analyst in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.