Organization Active NPI

Ci, Inc.

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1295888907
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH-2445 Issued in AZ
Legal business name
CI, INC.
Practice address
1117 N 3Rd St
Phoenix, AZ 85004-1811
Phone
(602) 495-1432
Fax
(602) 495-1435
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Melissa Jenkins-Simon
Title
Ceo
Phone
(602) 495-1432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH-2445 AZ Primary

Addresses

Primary practice location

1117 N 3Rd St
Phoenix, AZ 85004-1811

Mailing address

1117 N 3Rd St
Phoenix, AZ 85004-1811
Phone (602) 495-1432

Other identifiers 1

IdentifierTypeStateIssuer
528862MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1117 N 3rd St
Phoenix, AZ 85004
Phone (602) 495-1432

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295888907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041811",
            "telephone_number": "602-495-1432",
            "fax_number": "602-495-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041811",
            "telephone_number": "602-495-1432",
            "fax_number": "602-495-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENKINS-SIMON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-495-1432"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH-2445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528862",
            "state": "AZ"
        }
    ],
    "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 Aug 22, 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.