Organization Active NPI

Specialized Education of Arizona, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Gilbert, AZ
National Provider Identifier
1467063594
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SPECIALIZED EDUCATION OF ARIZONA, INC.
Practice address
875 S. Coooper Rd.
Gilbert, AZ 85233
Phone
(480) 456-0942
NPI assigned
Aug 12, 2020
Organization subpart
Yes
Parent organization
SPECIALIZED EDUCATION OF ARIZONA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Jessica Mayfield, BCBA
Title
Clinical Director
Phone
(480) 456-0942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

875 S. Coooper Rd.
Gilbert, AZ 85233

Mailing address

875 S. Coooper Rd.
Gilbert, AZ 85233
Phone (480) 456-0942

Other names 1

  • Sierra Day Program Doing business as

National Provider Directory

National Provider Directory
Part of
Specialized Education of Arizona Inc

Locations

875 S Cooper Rd
Gilbert, AZ 85233
Phone (480) 456-0942

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1467063594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 S. COOOPER RD.",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85233",
            "telephone_number": "480-456-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S. COOOPER RD.",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85233",
            "telephone_number": "480-456-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED EDUCATION OF ARIZONA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECIALIZED EDUCATION OF ARIZONA, INC.",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "480-456-0942",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Day Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.