NPIMap

Organization Active NPI

Ican America

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1508325929
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ICAN AMERICA
Practice address
Cityscape Tower 1 E Washington St., Suite 440
Phoenix, AZ 85004
Phone
(425) 657-0620
NPI assigned
Mar 15, 2019
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Shari Angell
Title
VP of Operations
Phone
(425) 657-0620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

Cityscape Tower 1 E Washington St., Suite 440
Phoenix, AZ 85004

Mailing address

5150 Village Park Dr SE
Bellevue, WA 98006-6652
Phone (425) 657-0620

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@i-can.center Lakeside Center for Autism, LLC

National Provider Directory

National Provider Directory

Locations

1 E Washington St
Ste 440
Phoenix, AZ 85004
Phone (425) 657-0620

5150 Village Park Dr SE
Bellevue, WA 98006
Phone (425) 502-8245

Interoperability endpoints

  • Direct secure messaging: info@i-can.center

Practitioners & affiliated clinicians

Practitioners 92

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 92

NPI Registry JSON

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1508325929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 VILLAGE PARK DR SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980066652",
            "telephone_number": "425-657-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CITYSCAPE TOWER 1 E WASHINGTON ST., SUITE 440",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85004",
            "telephone_number": "425-657-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICAN AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "ANGELL",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "425-657-0620"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@i-can.center",
            "affiliation": "Y",
            "affiliationName": "Lakeside Center for Autism, LLC",
            "address_1": "5150 Village Park Dr SE",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980066652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 27, 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.