Arizona Therapeutic Learning Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

BH-4082 Issued in AZ

Legal business name

ARIZONA THERAPEUTIC LEARNING CENTER

Doing business as

Trillium Integrated Healthcare

Practice address

3620 N 3Rd St
Phoenix, AZ 85012-2020

Phone

(602) 230-7373

Fax

(602) 230-5102

NPI assigned

Jan 7, 2013

Organization subpart

No

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

Authorized official

Name

Benjamin Kuhn

Title

Executive Director

Phone

(602) 230-7373

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trillium Integrated Healthcare Doing business as

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1316284714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 E CAMELBACK RD",
            "address_2": "#155",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164309",
            "telephone_number": "602-230-7373",
            "fax_number": "602-682-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122020",
            "telephone_number": "602-230-7373",
            "fax_number": "602-230-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA THERAPEUTIC LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "KUHN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-230-7373"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH-4082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "709972",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trillium Integrated Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arizona Surgical Physician Assistants LLC
• Arizona Surgical Services, LLC
• Arizona Surgical Specialists Center, LLC (North Phoenix Associates)
• Arizona Surgical Specialists Center, LLC (Arizona Surgical Specialists Center West Phoenix)
• Arizona Therapeutic Learning Center
• Arizona Therapy Associates, LLC
• Arizona TMS Therapy Center
• Arizona Training Program - Earll
• Arizona Training Program - Pinchot
• Arizona Training Program - Windsor

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.