Organization Active NPI

Community Support Services

  • Community/Behavioral Health Agency
  • Mesa, AZ
National Provider Identifier
1578094827
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSLG7618 Issued in AZ
Legal business name
COMMUNITY SUPPORT SERVICES
Practice address
423 N Country Club Dr
Suite 36
Mesa, AZ 85201-5717
Phone
(602) 309-4210
Fax
(480) 629-5996
NPI assigned
Mar 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Authorized official

Name
Arlette Itami
Title
President/Ceo
Phone
(602) 309-4210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CSLG7618 AZ Primary

Addresses

Primary practice location

423 N Country Club Dr
Suite 36
Mesa, AZ 85201-5717

Mailing address

10645 N Tatum Blvd
Phoenix, AZ 85028-3068
Phone (602) 309-4210

National Provider Directory

National Provider Directory
Tax ID family
Community Support Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

423 N Country Club Dr
Ste 36
Mesa, AZ 85201
Phone (480) 629-5994

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1578094827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10645 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283068",
            "telephone_number": "602-309-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N COUNTRY CLUB DR",
            "address_2": "SUITE 36",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015717",
            "telephone_number": "602-309-4210",
            "fax_number": "480-629-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "ITAMI",
        "authorized_official_first_name": "ARLETTE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "602-309-4210"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "CSLG7618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.