Organization Active NPI

Treatment Assessment Screening Center, Inc

  • Community/Behavioral Health Agency
  • Kingman, AZ
National Provider Identifier
1619366457
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
OTC5949 Issued in AZ
Legal business name
TREATMENT ASSESSMENT SCREENING CENTER, INC
Practice address
2364 Kingman Ave
Kingman, AZ 86401-4840
Phone
(928) 853-8678
Fax
(602) 712-0235
NPI assigned
Jan 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Authorized official

Name
Douglas K Kramer
Title
Ceo
Phone
(602) 254-7328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OTC5949 AZ Primary

Addresses

Primary practice location

2364 Kingman Ave
Kingman, AZ 86401-4840

Mailing address

2234 N 7TH St
Phoenix, AZ 85006-1651
Phone (602) 254-7328

Other names 1

  • TASC, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tasc Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

2364 Kingman Ave
Kingman, AZ 86401
Phone (877) 754-4694

NPI Registry JSON

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1619366457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061651",
            "telephone_number": "602-254-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2364 KINGMAN AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014840",
            "telephone_number": "928-853-8678",
            "fax_number": "602-712-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREATMENT ASSESSMENT SCREENING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-254-7328"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC5949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TASC, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.