Circle of Support

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CIRCLE OF SUPPORT

Practice address

947 E Constitution Dr
Gilbert, AZ 85296-9755

Phone

(480) 857-2052

Fax

(480) 857-2052

NPI assigned

Mar 22, 2007

Last updated

Sep 20, 2007By 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

Jim Woodard

Title

Executive Director

Phone

(480) 857-2052

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1326164062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 E CONSTITUTION DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852969755",
            "telephone_number": "480-857-2052",
            "fax_number": "480-857-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 E CONSTITUTION DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852969755",
            "telephone_number": "480-857-2052",
            "fax_number": "480-857-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "480-857-2052"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189663",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina M Ciezkowski, L.P.C.M.H
• Cigna Health Care of Arizona Inc. (CMG Care Today; CMG Care Today-Gilbert)
• Cigna Health Care of Arizona Inc. (CMG Gilbert Health Care Center, Gilbert Center)
• Cigna Healthcare of Arizona, Inc. (Gilbert Out Patient Surgery)
• Cigna Healthcare of Arizona, Inc. (EVERNORTH Care Group Gilbert Health Center)
• Circles of Recovery LLC
• William Carmen Cirocco, MD
• Kathryn Cisek, RBT
• Cassandra Larussa Cisneros, LPC
• Daniel Cisneros

• Specialist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.