NPIMap

Organization Active NPI

Arizona Baptist Children's Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1407957467
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
BH2681 Issued in AZ
Legal business name
ARIZONA BAPTIST CHILDREN'S SERVICES
Practice address
1717 W Northern Ave
Phoenix, AZ 85021-5469
Phone
(602) 346-2300
Fax
(602) 346-2399
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Don E. McDaniel Jr.
Title
Senior Vice President
Phone
(602) 346-2319

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X BH2681 AZ Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X BH2784 AZ
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X BH1340 AZ

Addresses

Primary practice location

1717 W Northern Ave
Phoenix, AZ 85021-5469

Mailing address

PO Box 35637
Phoenix, AZ 85069-5637
Phone (602) 346-2300

Other identifiers 6

IdentifierTypeStateIssuer
044678OtherAZAHCCCS PROVIDER ID NO
011411OtherAZAHCCCS PROVIDER ID NO.
1020012OtherAZADHS PROVIDER ID NO
117284OtherAZAHCCCS PROVIDER ID NO.
1020005OtherAZADHS PROVIDER ID NO.
1020010OtherAZADHS PROVIDER ID NO.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407957467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35637",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850695637",
            "telephone_number": "602-346-2300",
            "fax_number": "602-346-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W NORTHERN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215469",
            "telephone_number": "602-346-2300",
            "fax_number": "602-346-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA BAPTIST CHILDREN'S SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "602-346-2319",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "BH2681",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "BH2784",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "BH1340",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS PROVIDER ID NO",
            "identifier": "044678",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS PROVIDER ID NO.",
            "identifier": "011411",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADHS PROVIDER ID NO",
            "identifier": "1020012",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS PROVIDER ID NO.",
            "identifier": "117284",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADHS PROVIDER ID NO.",
            "identifier": "1020005",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADHS PROVIDER ID NO.",
            "identifier": "1020010",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.