The Complex Trauma Research and Advocacy Institute

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

THE COMPLEX TRAUMA RESEARCH AND ADVOCACY INSTITUTE

Practice address

522 N Central Ave # 831
Phoenix, AZ 85004-2185

Phone

(480) 810-2910

NPI assigned

Jan 27, 2023

Organization subpart

No

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

Authorized official

Name

Michael W Smart, PH.D.NPI 1588370969

Title

Managing Director / President

Phone

(480) 810-2910

Specialties & licenses 4

Addresses

Other names 1

• Attached2Achieve Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael W Smart, PH.D.

  • Psychologist
  • Phoenix, AZ
  • NPI 1588370969
  NPD Authorized official

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

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    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1598471971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N CENTRAL AVE # 831",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042185",
            "telephone_number": "480-810-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N CENTRAL AVE # 831",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042185",
            "telephone_number": "480-810-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMPLEX TRAUMA RESEARCH AND ADVOCACY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGING DIRECTOR / PRESIDENT",
        "authorized_official_telephone_number": "480-810-2910",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Attached2Achieve",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Voluntary or Charitable Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Voluntary or Charitable Agency in Arizona

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