Organization Active NPI

Integrated Treatment Services, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Scottsdale, AZ
National Provider Identifier
1285982660
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
005284 Issued in AZ
Legal business name
INTEGRATED TREATMENT SERVICES, LLC
Practice address
14362 N Frank Lloyd Wright Blvd
Suite B111
Scottsdale, AZ 85260-8846
Phone
(480) 788-8367
Fax
(480) 383-6996
NPI assigned
Aug 16, 2012
Last updated
Aug 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Mr. Kendric Burton Speagle
Title
Ceo
Phone
(480) 612-4889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X 005284 AZ Primary

Addresses

Primary practice location

14362 N Frank Lloyd Wright Blvd
Suite B111
Scottsdale, AZ 85260-8846

Mailing address

14362 N Frank Lloyd Wright Blvd
Suite B111
Scottsdale, AZ 85260-8846
Phone (480) 788-8367

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1285982660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14362 N FRANK LLOYD WRIGHT BLVD",
            "address_2": "SUITE B111",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852608846",
            "telephone_number": "480-788-8367",
            "fax_number": "480-383-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14362 N FRANK LLOYD WRIGHT BLVD",
            "address_2": "SUITE B111",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852608846",
            "telephone_number": "480-788-8367",
            "fax_number": "480-383-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED TREATMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "SPEAGLE",
        "authorized_official_first_name": "KENDRIC",
        "authorized_official_middle_name": "BURTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-612-4889",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "AZ",
            "license": "005284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.