NPIMap

Organization Active NPI

Empact - Suicide Prevention Center

Doing business as Empact-SPC

  • Community/Behavioral Health Agency
  • Maricopa, AZ
National Provider Identifier
1548901093
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMPACT - SUICIDE PREVENTION CENTER
Doing business as
Empact-SPC
Practice address
21476 N John Wayne Pkwy Ste C101
Maricopa, AZ 85139-8984
Phone
(480) 784-1514
NPI assigned
Apr 6, 2022
Organization subpart
Yes
Parent organization
EMPACT - SUICIDE PREVENTION CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Sharon Kay Casagrande
Title
Director of Finance
Phone
(480) 784-1514

Specialties & licenses 1

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

Addresses

Primary practice location

21476 N John Wayne Pkwy Ste C101
Maricopa, AZ 85139-8984

Mailing address

618 S Madison Dr
Tempe, AZ 85281-7248
Phone (480) 784-1514

Other names 1

  • EMPACT-SPC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Empact Suicide Prevention13 organizations share this tax ID, including this one
Part of
Empact Suicide Prevention

Other organizations with this tax ID 12

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": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1548901093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 S MADISON DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852817248",
            "telephone_number": "480-784-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21476 N JOHN WAYNE PKWY STE C101",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851398984",
            "telephone_number": "480-784-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPACT - SUICIDE PREVENTION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPACT - SUICIDE PREVENTION CENTER",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "CASAGRANDE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "480-784-1514"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMPACT-SPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.