Canyon Social Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CANYON SOCIAL SERVICES

Practice address

9602 N Metro Pkwy W # a-4
Phoenix, AZ 85051-1402

Phone

(907) 317-8358

NPI assigned

Nov 2, 2021

Organization subpart

No

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

Authorized official

Name

Robert Dempsey

Title

Owner Administrator

Phone

(907) 317-8358

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1437814647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 UPPER HUFFMAN RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995162521",
            "telephone_number": "907-317-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9602 N METRO PKWY W # A-4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850511402",
            "telephone_number": "907-317-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "DEMPSEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "907-317-8358"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canyon Pain Center LLC
• Canyon Pathology Group LTD
• Canyon Physicians II
• Canyon Repose LLC
• Canyon Sleep Neurology and Wellness Group, LLC
• Canyon Surgical Specialists Center LLC
• Canyon Vista Dentistry and Orthodontics,LLP
• Qing J Cao, MD
• Gejia A Capasso, LPC
• Caleb Capellen

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.