Organization Active NPI

Sequoia Support Sevices

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1609200237
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH-4371 Issued in AZ
Legal business name
SEQUOIA SUPPORT SEVICES
Practice address
1648 S 16TH St
Phoenix, AZ 85034-5340
Phone
(602) 448-0935
NPI assigned
Aug 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
Douglas Pike
Title
President/Ceo
Phone
(602) 570-0360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH-4371 AZ Primary

Addresses

Primary practice location

1648 S 16TH St
Phoenix, AZ 85034-5340

Mailing address

1648 S 16TH St
Phoenix, AZ 85034-5340

National Provider Directory

National Provider Directory
Tax ID family
Choice Education and Development Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1609200237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 S 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850345340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 S 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850345340",
            "telephone_number": "602-448-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA SUPPORT SEVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "PIKE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "602-570-0360"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH-4371",
            "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 Aug 30, 2013; 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.