NPIMap

Organization Active NPI

Black Family and Child Services Inc

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1528438488
Registry record updated Oct 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
9065 Issued in AZ
Legal business name
BLACK FAMILY AND CHILD SERVICES INC
Practice address
3821 W Shumway Farm Rd
Phoenix, AZ 85041-6192
Phone
(602) 380-6619
NPI assigned
Oct 4, 2015
Last updated
Oct 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2015

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

Authorized official

Name
Ms. Mary M Black
Title
Ceo
Phone
(602) 243-1773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 9065 AZ Primary

Addresses

Primary practice location

3821 W Shumway Farm Rd
Phoenix, AZ 85041-6192

Mailing address

1522 E Southern Ave
Phoenix, AZ 85040-3543
Phone (602) 243-1773

National Provider Directory

National Provider Directory
Tax ID family
Black Family and Child Services Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1443916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443916800000",
    "number": "1528438488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 E SOUTHERN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850403543",
            "telephone_number": "602-243-1773",
            "fax_number": "602-276-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 W SHUMWAY FARM RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416192",
            "telephone_number": "602-380-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK FAMILY AND CHILD SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-04",
        "last_updated": "2015-10-04",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-243-1773",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "9065",
            "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 Oct 4, 2015; 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.