Organization Active NPI

LDS Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
National Provider Identifier
1821184938
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
870489265 Issued in AZ
Legal business name
LDS FAMILY SERVICES
Doing business as
LDS Family Services AZ Tucson
Practice address
1200 N El Dorado PL
Suite F-620
Tucson, AZ 85715-4637
Phone
(520) 886-1136
Fax
(520) 751-7475
NPI assigned
Oct 5, 2006
Organization subpart
Yes
Parent organization
LDS FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Mr. Matthew Watson, LCSW
Title
Director
Phone
(520) 886-1136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 870489265 AZ Primary

Addresses

Primary practice location

1200 N El Dorado PL
Suite F-620
Tucson, AZ 85715-4637

Mailing address

1200 N El Dorado PL
Suite F-620
Tucson, AZ 85715-4637
Phone (520) 886-1136

Other names 1

  • LDS Family Services AZ Tucson Doing business as

National Provider Directory

National Provider Directory
Part of
Robert D Smith PHD

Locations

1200 N El Dorado Pl
Ste F620
Tucson, AZ 85715
Phone (520) 777-5609

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1821184938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N EL DORADO PL",
            "address_2": "SUITE F-620",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154637",
            "telephone_number": "520-886-1136",
            "fax_number": "520-751-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N EL DORADO PL",
            "address_2": "SUITE F-620",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154637",
            "telephone_number": "520-886-1136",
            "fax_number": "520-751-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDS FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LDS FAMILY SERVICES",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-886-1136",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AZ",
            "license": "870489265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LDS Family Services AZ Tucson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.