Active NPI
Choices Network of Arizona, Inc.
- Community/Behavioral Health Agency
- Phoenix, AZ
National Provider Identifier
1700039211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CHOICES NETWORK OF ARIZONA, INC.
- Practice address
- 3311 N 44TH St
Suite 100
Phoenix, AZ 85018-6446 - Phone
- (602) 957-2220
- Fax
- (602) 957-1750
- NPI assigned
- Oct 28, 2008
- Organization subpart
- Yes
- Parent organization
- CHOICES NETWORK OF ARIZONA, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas McKelvey
- Title
- Ceo
- Phone
- (602) 952-3400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3311 N 44TH St
Suite 100
Phoenix, AZ 85018-6446
Mailing address
3003 N Central Ave
Suite 305
Phoenix, AZ 85012-2902
Phone (602) 952-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407713 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Part of
- Choices Network of Arizona Inc
Locations
3003 N Central Ave
Ste 305
Phoenix, AZ 85012
Phone (602) 952-3400
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1235327719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420761600000",
"number": "1700039211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 N CENTRAL AVE",
"address_2": "SUITE 305",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122902",
"telephone_number": "602-952-3400",
"fax_number": "602-952-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 N 44TH ST",
"address_2": "SUITE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850186446",
"telephone_number": "602-957-2220",
"fax_number": "602-957-1750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHOICES NETWORK OF ARIZONA, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHOICES NETWORK OF ARIZONA, INC.",
"enumeration_date": "2008-10-28",
"last_updated": "2015-01-09",
"status": "A",
"authorized_official_last_name": "MCKELVEY",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-952-3400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407713",
"state": "AZ"
}
],
"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 Jan 9, 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.