NPIMap

Organization Active NPI

Connections Southernaz, LLC Outpatient

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
National Provider Identifier
1669890836
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
OTC6497 Issued in AZ
Legal business name
CONNECTIONS SOUTHERNAZ, LLC OUTPATIENT
Practice address
2802 E District St
Tucson, AZ 85714-2081
Phone
(602) 253-5100
Fax
(866) 882-5456
NPI assigned
Apr 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Dixie Lovrien
Title
Cred MNGR
Phone
(602) 253-5100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OTC6497 AZ
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X OTC6497 AZ Primary

Addresses

Primary practice location

2802 E District St
Tucson, AZ 85714-2081

Mailing address

3030 N Central Ave Ste 1407
Phoenix, AZ 85012-2720
Phone (602) 253-5100

Other identifiers 2

IdentifierTypeStateIssuer
Z173149OtherAZMEDICARE
913124MedicaidAZ

Other names 1

  • ConnectionsAZ, Inc Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1669890836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N CENTRAL AVE STE 1407",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122720",
            "telephone_number": "602-253-5100",
            "fax_number": "866-882-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 E DISTRICT ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857142081",
            "telephone_number": "602-253-5100",
            "fax_number": "866-882-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS SOUTHERNAZ, LLC OUTPATIENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "LOVRIEN",
        "authorized_official_first_name": "DIXIE",
        "authorized_official_title_or_position": "CRED MNGR",
        "authorized_official_telephone_number": "602-253-5100"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC6497",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AZ",
            "license": "OTC6497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z173149",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "913124",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ConnectionsAZ, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.