Spring Ridge Academy

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

BH1721 Issued in AZ

Legal business name

SPRING RIDGE ACADEMY

Practice address

13690 S. Burton Rd.
Spring Valley, AZ 86333

Phone

(928) 632-4602

Fax

(928) 632-7661

NPI assigned

Apr 14, 2010

Last updated

Mar 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suzanne Courtney

Title

Executive Director

Phone

(928) 925-5965

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1699091710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13690 S. BURTON RD.",
            "city": "SPRING VALLEY",
            "state": "AZ",
            "postal_code": "86333",
            "telephone_number": "928-632-4602",
            "fax_number": "928-632-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13690 S. BURTON RD.",
            "city": "SPRING VALLEY",
            "state": "AZ",
            "postal_code": "86333",
            "telephone_number": "928-632-4602",
            "fax_number": "928-632-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING RIDGE ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-925-5965"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AZ",
            "license": "BH1721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric Residential Treatment Facility in Spring Valley, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.