Organization Active NPI

Tanner Community Development Corporation

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1427565977
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
50216 Issued in AZ
Legal business name
TANNER COMMUNITY DEVELOPMENT CORPORATION
Practice address
700 E Jefferson St Ste 200
Phoenix, AZ 85034-2202
Phone
(602) 253-6904
Fax
(602) 253-2723
NPI assigned
Jan 5, 2018
Last updated
Jan 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

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

Authorized official

Name
Dr. Darlene Little
Title
Executive Director
Phone
(602) 253-6904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 50216 AZ Primary

Addresses

Primary practice location

700 E Jefferson St Ste 200
Phoenix, AZ 85034-2202

Mailing address

700 E Jefferson St Ste 200
Phoenix, AZ 85034-2202
Phone (602) 253-6904

National Provider Directory

National Provider Directory

Locations

700 E Jefferson St
Ste 200
Phoenix, AZ 85034
Phone (602) 253-6904

NPI Registry JSON

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1427565977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E JEFFERSON ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342202",
            "telephone_number": "602-253-6904",
            "fax_number": "602-253-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E JEFFERSON ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342202",
            "telephone_number": "602-253-6904",
            "fax_number": "602-253-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANNER COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-253-6904",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "50216",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 5, 2018; 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.