NPIMap

Organization Active NPI

Direct Connect Ventures

Doing business as Price Family Services

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1295123164
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
OTC6888 Issued in AZ
Legal business name
DIRECT CONNECT VENTURES
Doing business as
Price Family Services
Practice address
5010 E Warner Rd
Suite 111
Phoenix, AZ 85044-3311
Phone
(480) 245-6066
NPI assigned
Dec 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Mr. Ivory Kaimaron Price
Title
Ceo
Phone
(520) 371-3782

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OTC6888 AZ Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Respite Care 385H00000X
Child Mental Illness Respite Care 385HR2055X

Addresses

Primary practice location

5010 E Warner Rd
Suite 111
Phoenix, AZ 85044-3311

Mailing address

2320 E Baseline Rd Ste 148473
Phoenix, AZ 85042-6951
Phone (520) 371-3782

Other names 1

  • Price Family Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Direct Connect Ventures2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5010 E Warner Rd
Ste 111
Phoenix, AZ 85044
Phone (480) 245-6066

NPI Registry JSON

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1295123164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 E BASELINE RD STE 148473",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426951",
            "telephone_number": "520-371-3782",
            "fax_number": "866-624-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 E WARNER RD",
            "address_2": "SUITE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443311",
            "telephone_number": "480-245-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT CONNECT VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "IVORY",
        "authorized_official_middle_name": "KAIMARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-371-3782",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC6888",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Price Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 29, 2020; 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.