Individual provider Active NPI

Tamla Alexander

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Maricopa, AZ
National Provider Identifier
1366978462
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
BH5143 Issued in AZ
Practice address
43284 W Arizona Ave
Maricopa, AZ 85138-8236
Phone
(520) 350-4697
NPI assigned
May 10, 2017
Last updated
May 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X BH5143 AZ Primary
Psychiatric Residential Treatment Facility 323P00000X BH5143 AZ

Addresses

Primary practice location

43284 W Arizona Ave
Maricopa, AZ 85138-8236

Mailing address

43284 W Arizona Ave
Maricopa, AZ 85138-8236
Phone (520) 350-4697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BH5143AZMDPsychiatric Residential Treatment Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Community and Social Services Agency Current Accepting new patients
Day Starz Group Home, Inc. Residential Treatment Facility, Emotionally Disturbed Children Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1366978462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43284 W ARIZONA AVE",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851388236",
            "telephone_number": "520-350-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43284 W ARIZONA AVE",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851388236",
            "telephone_number": "520-350-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "TAMLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "BH5143",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AZ",
            "license": "BH5143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.