Organization Active NPI

Dedicated Onsite Therapy LLC

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1487336442
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DEDICATED ONSITE THERAPY LLC
Practice address
4340 E Indian School Rd Ste 21-550
Phoenix, AZ 85018-9300
Phone
(408) 644-7443
Fax
(602) 314-7223
NPI assigned
Aug 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Cameron Marshall
Title
President
Phone
(408) 644-7443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4340 E Indian School Rd Ste 21-550
Phoenix, AZ 85018-9300

Mailing address

PO Box 5561
Phoenix, AZ 85010-5561
Phone (602) 224-9790

National Provider Directory

National Provider Directory

Locations

4340 E Indian School Rd
Ste 21550
Phoenix, AZ 85018
Phone (408) 644-7443

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1487336442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5561",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850105561",
            "telephone_number": "602-224-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 E INDIAN SCHOOL RD STE 21-550",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850189300",
            "telephone_number": "408-644-7443",
            "fax_number": "602-314-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED ONSITE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-644-7443"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Aug 1, 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.