NPIMap

Organization Active NPI

ADHD Clinics of Arizona

  • Adolescent and Children Mental Health Clinic/Center
  • Flagstaff, AZ
National Provider Identifier
1649403544
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
3125 Issued in AZ
Legal business name
ADHD CLINICS OF ARIZONA
Practice address
1016 W University Ave
202
Flagstaff, AZ 86001-2994
Phone
(928) 773-7774
Fax
(928) 774-1148
NPI assigned
Aug 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Dr. Bruce Packard, ED.D., PC
Title
Partner
Phone
(928) 773-7774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 3125 AZ Primary

Addresses

Primary practice location

1016 W University Ave
202
Flagstaff, AZ 86001-2994

Mailing address

1016 W University Ave
202
Flagstaff, AZ 86001-2994
Phone (928) 773-7774

National Provider Directory

National Provider Directory

Locations

1016 W University Ave
Ste 202
Flagstaff, AZ 86001
Phone (928) 773-7774

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1649403544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 W UNIVERSITY AVE",
            "address_2": "202",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012994",
            "telephone_number": "928-773-7774",
            "fax_number": "928-774-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 W UNIVERSITY AVE",
            "address_2": "202",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860012994",
            "telephone_number": "928-773-7774",
            "fax_number": "928-774-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADHD CLINICS OF ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "PACKARD",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "928-773-7774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D., PC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "AZ",
            "license": "3125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.