NPIMap

Organization Active NPI

Casa Grande Union HSD

  • Community/Behavioral Health Agency
  • Casa Grande, AZ
National Provider Identifier
1386924371
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCSW-12294 Issued in AZ
Legal business name
CASA GRANDE UNION HSD
Practice address
2730 N Trekell Rd
Casa Grande, AZ 85122-1019
Phone
(520) 836-8500
Fax
(520) 876-1199
NPI assigned
Aug 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Mr. Jonah M Gillooly, MSW
Title
Ess Counselor
Phone
(520) 836-8500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCSW-12294 AZ Primary
Community/Behavioral Health Agency 251S00000X LISAC-11537 AZ

Addresses

Primary practice location

2730 N Trekell Rd
Casa Grande, AZ 85122-1019

Mailing address

2730 N Trekell Rd
Casa Grande, AZ 85122-1019
Phone (520) 836-8500

National Provider Directory

National Provider Directory
Tax ID family
Casa Grande Union High School District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2730 N Trekell Rd
Casa Grande, AZ 85122
Phone (520) 836-8500

Practitioners & affiliated clinicians

Practitioners 5

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": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1386924371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 N TREKELL RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221019",
            "telephone_number": "520-836-8500",
            "fax_number": "520-876-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 N TREKELL RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221019",
            "telephone_number": "520-836-8500",
            "fax_number": "520-876-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA GRANDE UNION HSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "GILLOOLY",
        "authorized_official_first_name": "JONAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ESS COUNSELOR",
        "authorized_official_telephone_number": "520-836-8500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LCSW-12294",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LISAC-11537",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.