Organization Active NPI

Icare Therapy Az LLC

  • Behavior Analyst
  • Phoenix, AZ
National Provider Identifier
1669298386
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ICARE THERAPY AZ LLC
Practice address
7301 N 16TH St Suite 102
Phoenix, AZ 85020-9107
Phone
(866) 588-8829
NPI assigned
Nov 26, 2024
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Alexander Denciger
Title
Managing Member
Phone
(866) 588-8829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

7301 N 16TH St Suite 102
Phoenix, AZ 85020-9107

Mailing address

825 W End Ave
New York, NY 10025-5349
Phone (866) 588-8829

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1669298386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W END AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255349",
            "telephone_number": "866-588-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 N 16TH ST SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850209107",
            "telephone_number": "866-588-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE THERAPY AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "DENCIGER",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "866-588-8829"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "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 Nov 26, 2024; 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.