Organization Active NPI

Choices Network of Arizona, Inc

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1295988012
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHOICES NETWORK OF ARIZONA, INC
Practice address
5030 W McDowell Rd Ste 16
Phoenix, AZ 85035-3945
Phone
(602) 278-1414
Fax
(602) 269-8410
NPI assigned
Oct 23, 2008
Organization subpart
Yes
Parent organization
CHOICES NETWORK OF ARIZONA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Mr. Thomas McKelvey
Title
Chief Executive Officer
Phone
(602) 952-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5030 W McDowell Rd Ste 16
Phoenix, AZ 85035-3945

Mailing address

3003 N Central Ave Ste 305
Phoenix, AZ 85012-2904
Phone (602) 952-3400

Other identifiers 1

IdentifierTypeStateIssuer
380777MedicaidAZ

National Provider Directory

National Provider Directory
Part of
Choices Network of Arizona Inc

Locations

702 W Dunlap Ave
Phoenix, AZ 85021
Phone (602) 944-8386

1642 S Priest Dr
Bldg 6
Tempe, AZ 85281
Phone (480) 929-5100

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1295988012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122904",
            "telephone_number": "602-952-3400",
            "fax_number": "602-952-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 W MCDOWELL RD STE 16",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850353945",
            "telephone_number": "602-278-1414",
            "fax_number": "602-269-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES NETWORK OF ARIZONA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHOICES NETWORK OF ARIZONA, INC",
        "enumeration_date": "2008-10-23",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "MCKELVEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "602-952-3400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380777",
            "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 Jan 9, 2015; 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.