Organization Active NPI

Crisis Response Network of Southern Arizona, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
National Provider Identifier
1588952089
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
BH3870 Issued in AZ
Legal business name
CRISIS RESPONSE NETWORK OF SOUTHERN ARIZONA, INC.
Practice address
2802 East District Street
Tucson, AZ 85714
Phone
(520) 284-3508
NPI assigned
Jul 18, 2011
Last updated
Jul 18, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
CRISIS RESPONSE NETWORK, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Ms. Suzanne Rabideau
Title
Ceo
Phone
(602) 427-4603

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X BH3870 AZ Primary
Adult Mental Health Clinic/Center 261QM0850X BH3870 AZ
Adolescent and Children Mental Health Clinic/Center 261QM0855X BH3870 AZ
Community/Behavioral Health Agency 251S00000X BH3870 AZ

Addresses

Primary practice location

2802 East District Street
Tucson, AZ 85714

Mailing address

2802 East District Street
Tucson, AZ 85714
Phone (520) 284-3508

National Provider Directory

National Provider Directory
Tax ID family
Crisis Response Network of Southern Arizona Inc2 organizations share this tax ID, including this one
Part of
Maricopa Crisis Recovery Network Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1588952089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 EAST DISTRICT STREET",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85714",
            "telephone_number": "520-284-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 EAST DISTRICT STREET",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85714",
            "telephone_number": "520-284-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISIS RESPONSE NETWORK OF SOUTHERN ARIZONA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRISIS RESPONSE NETWORK, INC.",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "RABIDEAU",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-427-4603",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AZ",
            "license": "BH3870",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AZ",
            "license": "BH3870",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "AZ",
            "license": "BH3870",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH3870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.