Mark Allen FDT

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

MARK ALLEN FDT

Practice address

2622 W State Ave
Phoenix, AZ 85051

Phone

(602) 973-3727

Fax

(602) 841-2864

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Dona Maria Harms, BEHAVIORAL HEALTH TE

Title

Executive Director

Phone

(602) 973-3727

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720024839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 W STATE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85051",
            "telephone_number": "602-973-3727",
            "fax_number": "602-841-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 W STATE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85051",
            "telephone_number": "602-973-3727",
            "fax_number": "602-841-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK ALLEN FDT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARMS",
        "authorized_official_first_name": "DONA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-973-3727",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BEHAVIORAL HEALTH TE"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCUS",
            "identifier": "754342",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark a Espinoza DDS PLLC
• Mark a Greenfield
• Mark a Kallgren MD PLLC
• Mark a Omalley DO PC
• Mark Alan Wellek MD LTD
• Mark F Rudinsky, M.D. P.C.
• Mark J Lewis MD PLC
• Mark J. Page OD PC
• Mark K McAlister D.D.S.,M.S.,PC
• Mark Kaufmann MD PC

• Psychiatric Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.