Center for Loss and Trauma

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LMSW11914 Issued in AZ

Legal business name

CENTER FOR LOSS AND TRAUMA

Practice address

2525 W Carefree Hwy # 7-148
Phoenix, AZ 85085-6093

Phone

(623) 979-1000

NPI assigned

Mar 22, 2010

Organization subpart

Yes

Parent organization

MISS FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Dr. Joanne Cacciatore, PHD, FT, LMSW

Title

Director

Phone

(602) 574-1000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1407170335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W CAREFREE HWY # 7-148",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856093",
            "telephone_number": "623-979-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W CAREFREE HWY # 7-148",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856093",
            "telephone_number": "623-979-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR LOSS AND TRAUMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISS FOUNDATION",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "CACCIATORE",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-574-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, FT, LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LMSW11914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.