Cindy Hicks

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

BH2617 Issued in AZ

Legal business name

CINDY HICKS

Practice address

4602 W Monte Cristo Ave
Glendale, AZ 85306-2724

Phone

(602) 547-9682

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Cindy Hicks

Title

Owner

Phone

(602) 547-9682

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1720130404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 W MONTE CRISTO AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853062724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 W MONTE CRISTO AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853062724",
            "telephone_number": "602-547-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINDY HICKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-547-9682",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "AZ",
            "license": "BH2617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016782",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH LICENSE",
            "identifier": "BH2617",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John A. Cianciola I, DDS
• Lori Cieszko
• Cigna Health Care of Arizona Inc.
• Cigna Health Care of Arizona Inc.
• Cigna Health Care of Arizona Inc.
• Cindy L. Tatum, CMSW, Inc.
• Cheyanne Ciotti
• Yazmin J. Cisneros
• Rachel Cisney, AGACNP-BC
• Halie Claiborne

• Assisted Living Facility (Mental Illness) in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Assisted Living Facility (Mental Illness) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.