Dembro Outpatient Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DEMBRO OUTPATIENT SERVICES

Practice address

1729 N Trekell Rd Ste 102-103
Casa Grande, AZ 85122-2215

Phone

(520) 635-5395

NPI assigned

Feb 28, 2024

Organization subpart

No

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

Authorized official

Name

Shanna Demus

Title

Owner

Phone

(623) 695-6045

Specialties & licenses 1

Addresses

Tax ID family

Dembro Outpatient Services2 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.

• Dembro Outpatient Services

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1245864636
  NPD tax ID

Locations

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1407612286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 N TREKELL RD STE 102-103",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 N TREKELL RD STE 102-103",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222215",
            "telephone_number": "520-635-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMBRO OUTPATIENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "DEMUS",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-695-6045"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Gene Dawson, DC
• Dean B Clement, DPM, PLLC
• Kerrie Lynn Decastro, CNM
• Catherine Decker, REGISTERED DIETITIAN
• Rosenberg Delgado, RDH AP
• Dembro Recovery Services
• Erla Jane Denham, LPN
• Cathleen Denny, FNP, MSN
• Kunal Deora, M.D
• Diana Depadre, RN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.