Organization Active NPI

Squared Affairs Inc.

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1336888189
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SQUARED AFFAIRS INC.
Practice address
11840 N 28TH Dr
Phoenix, AZ 85029-3300
Phone
(623) 226-8191
NPI assigned
May 31, 2022
Last updated
May 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Raymond Smith
Title
Administrator
Phone
(623) 226-8191

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Case Management Agency 251B00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

11840 N 28TH Dr
Phoenix, AZ 85029-3300

Mailing address

20987 N John Wayne Pkwy Ste B104-244
Maricopa, AZ 85139-2926

National Provider Directory

National Provider Directory

Locations

20987 N John Wayne Pkwy
Ste B104244
Maricopa, AZ 85139

11840 N 28th Dr
Phoenix, AZ 85029
Phone (623) 226-8191

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1336888189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20987 N JOHN WAYNE PKWY STE B104-244",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851392926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11840 N 28TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293300",
            "telephone_number": "623-226-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUARED AFFAIRS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-226-8191"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 May 31, 2022; 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.