Organization Active NPI

Feed Corp

  • Community Health Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1770222903
Registry record updated Jun 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
FEED CORP
Practice address
3838 N Central Ave Ste 1850
Phoenix, AZ 85012-1983
Phone
(602) 848-2325
NPI assigned
Jun 4, 2022
Last updated
Jun 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2022

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

Authorized official

Name
Summer Faussette
Title
Ceo
Phone
(623) 703-5574

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Community Health Clinic/Center 261QC1500X Primary
Behavior Technician 106S00000X
Peer Specialist 175T00000X

Addresses

Primary practice location

3838 N Central Ave Ste 1850
Phoenix, AZ 85012-1983

Mailing address

3838 N Central Ave Ste 1850
Phoenix, AZ 85012-1983
Phone (602) 848-2325

National Provider Directory

National Provider Directory

Locations

3838 N Central Ave
Ste 1850
Phoenix, AZ 85012
Phone (602) 848-2325

NPI Registry JSON

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

{
    "created_epoch": "1654300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654300800000",
    "number": "1770222903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 N CENTRAL AVE STE 1850",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121983",
            "telephone_number": "602-848-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 N CENTRAL AVE STE 1850",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121983",
            "telephone_number": "602-848-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-04",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A",
        "authorized_official_last_name": "FAUSSETTE",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-703-5574"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jun 4, 2022; 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.