Southgate Academy Inc.

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SOUTHGATE ACADEMY INC.

Practice address

850 W Valencia Rd
Tucson, AZ 85706-7619

Phone

(520) 741-7900

Fax

(520) 741-7901

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Sylvia Enriquez

Title

Assistant Director

Phone

(520) 741-7900

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cassandra Ann Hicks, PH.D.

  • School Psychologist
  • Tucson, AZ
  • NPI 1679291769
  NPD (past)
• Rachael Marie Suddarth, CCC-SLP

  • Speech-Language Pathologist
  • Tucson, AZ
  • NPI 1861519597
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770617201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W VALENCIA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857067619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W VALENCIA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857067619",
            "telephone_number": "520-741-7900",
            "fax_number": "520-741-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHGATE ACADEMY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENRIQUEZ",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "520-741-7900"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Local Education Agency (LEA) 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.