NPIMap

Organization Active NPI

Treatment Assessment Screening Center, Inc

  • Community/Behavioral Health Agency
  • Lake Havasu City, AZ
National Provider Identifier
1386033124
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
OTC6030 Issued in AZ
Legal business name
TREATMENT ASSESSMENT SCREENING CENTER, INC
Practice address
2080 Acoma Blvd W
Suite a
Lake Havasu City, AZ 86403-2971
Phone
(928) 753-9678
Fax
(602) 712-0235
NPI assigned
Jan 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Authorized official

Name
Douglas K Kramer
Title
Ceo
Phone
(602) 254-7328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OTC6030 AZ Primary

Addresses

Primary practice location

2080 Acoma Blvd W
Suite a
Lake Havasu City, AZ 86403-2971

Mailing address

2234 N 7TH St
Phoenix, AZ 85006-1651
Phone (602) 254-7328

Other names 1

  • TASC, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tasc Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2080 Acoma Blvd W
Unit A
Lake Havasu City, AZ 86403
Phone (928) 753-9678

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1386033124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061651",
            "telephone_number": "602-254-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 ACOMA BLVD W",
            "address_2": "SUITE A",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864032971",
            "telephone_number": "928-753-9678",
            "fax_number": "602-712-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREATMENT ASSESSMENT SCREENING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-254-7328"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC6030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TASC, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.