Organization Active NPI

Genesis Community Outreach, Training & Education

  • Community/Behavioral Health Agency
  • Mesa, AZ
National Provider Identifier
1477249779
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GENESIS COMMUNITY OUTREACH, TRAINING & EDUCATION
Practice address
7565 E Eagle Crest Dr Ste 100
Mesa, AZ 85207-1041
Phone
(480) 203-6130
NPI assigned
Apr 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
John Delorenzo
Title
Managing Member
Phone
(480) 203-6130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7565 E Eagle Crest Dr Ste 100
Mesa, AZ 85207-1041

Mailing address

7565 E Eagle Crest Dr Ste 100
Mesa, AZ 85207-1041

National Provider Directory

National Provider Directory

Locations

7565 E Eagle Crest Dr
Ste 100
Mesa, AZ 85207
Phone (480) 203-6130

Practitioners & affiliated clinicians

Practitioners 1

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": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1477249779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7565 E EAGLE CREST DR STE 100",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852071041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7565 E EAGLE CREST DR STE 100",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852071041",
            "telephone_number": "480-203-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS COMMUNITY OUTREACH, TRAINING & EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "DELORENZO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "480-203-6130"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.