NPIMap

Organization Active NPI

Trinity Integrated Care

Doing business as Trinity Integrated Care II

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
National Provider Identifier
1497341168
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TRINITY INTEGRATED CARE
Doing business as
Trinity Integrated Care II
Practice address
4637 S 7TH St
Phoenix, AZ 85040-2219
Phone
(602) 456-0769
NPI assigned
Dec 17, 2020
Last updated
Dec 17, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
TRINITY INTEGRATED CARE IIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Liz Grant
Title
Primary Contact
Phone
(602) 456-0769

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Assisted Living Facility (Mental Illness) 3104A0625X

Addresses

Primary practice location

4637 S 7TH St
Phoenix, AZ 85040-2219

Mailing address

4637 S 7TH St
Phoenix, AZ 85040-2219

Other names 1

  • Trinity Integrated Care II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trinity Integrated Healthcare6 organizations share this tax ID, including this one
Part of
Trinity Integrated Healthcare

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1497341168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4637 S 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850402219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4637 S 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850402219",
            "telephone_number": "602-456-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY INTEGRATED CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY INTEGRATED CARE II",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "PRIMARY CONTACT",
        "authorized_official_telephone_number": "602-456-0769"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Integrated Care II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 17, 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.