NPIMap

Organization Active NPI

State of Arizona State Dept of Finance

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1447873732
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
STATE OF ARIZONA STATE DEPT OF FINANCE
Practice address
2500 E Van Buren St
Phoenix, AZ 85008-6037
Phone
(602) 220-6191
NPI assigned
May 21, 2020
Last updated
May 21, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF ARIZONA STATE DEPT OF FINANCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Mr. Aaron Bowen, PSY.D.
Title
Chief Executive Officer
Phone
(602) 220-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

2500 E Van Buren St
Phoenix, AZ 85008-6037

Mailing address

2500 E Van Buren St
Phoenix, AZ 85008-6037
Phone (602) 220-6191

Other names 1

  • Arizona Community Protection and Treatment Center (ACPTC) Other name

National Provider Directory

National Provider Directory
Tax ID family
Arizona Training Program - Windsor32 organizations share this tax ID, including this one
Part of
Arizona Training Program - Windsor

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1447873732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E VAN BUREN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086037",
            "telephone_number": "602-220-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E VAN BUREN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086037",
            "telephone_number": "602-220-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ARIZONA STATE DEPT OF FINANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF ARIZONA STATE DEPT OF FINANCE",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "602-220-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Community Protection and Treatment Center (ACPTC)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 21, 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.