Centric Care Management Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CENTRIC CARE MANAGEMENT INC

Practice address

5550 E Deer Valley Dr Unit 159
Phoenix, AZ 85054-5662

Phone

(602) 922-3388

Fax

(602) 922-3366

NPI assigned

Oct 14, 2021

Last updated

Oct 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Gugick, RNNPI 1962175208

Title

President

Phone

(602) 922-3388

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Gugick, RN

  • Case Management Agency
  • Phoenix, AZ
  • NPI 1962175208
  NPD Authorized official

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1316600570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21001 N TATUM BLVD STE 1630-425",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504242",
            "telephone_number": "602-922-3388",
            "fax_number": "602-922-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 E DEER VALLEY DR UNIT 159",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545662",
            "telephone_number": "602-922-3388",
            "fax_number": "602-922-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRIC CARE MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "GUGICK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-922-3388",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Phoenix, AZ by specialty
• Case Management Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.