Organization Active NPI

Arizona Support Services and Intensive Skills Training, Inc.

  • Community/Behavioral Health Agency
  • Prescott, AZ
National Provider Identifier
1679717441
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ARIZONA SUPPORT SERVICES AND INTENSIVE SKILLS TRAINING, INC.
Practice address
2957 N US Highway 89
Prescott, AZ 86301-4963
Phone
(928) 443-9290
Fax
(928) 277-4806
NPI assigned
Apr 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Mrs. Angela Dawn Levin
Title
President
Phone
(928) 443-9290

Specialties & licenses 1

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

Addresses

Primary practice location

2957 N US Highway 89
Prescott, AZ 86301-4963

Mailing address

PO Box 300
Kirkland, AZ 86332-0300
Phone (928) 443-9290

National Provider Directory

National Provider Directory

Locations

2957 N US Highway 89
Prescott, AZ 86301
Phone (928) 443-9290

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1679717441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300",
            "city": "KIRKLAND",
            "state": "AZ",
            "postal_code": "863320300",
            "telephone_number": "928-443-9290",
            "fax_number": "928-277-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2957 N US HIGHWAY 89",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863014963",
            "telephone_number": "928-443-9290",
            "fax_number": "928-277-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SUPPORT SERVICES AND INTENSIVE SKILLS TRAINING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-443-9290",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.