NPIMap

Organization Active NPI

Into the Spectrum Services LLC

  • Behavior Analyst
  • Phoenix, AZ
National Provider Identifier
1831676998
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
INTO THE SPECTRUM SERVICES LLC
Practice address
4340 E Indian School Rd Ste 21-194
Phoenix, AZ 85018-5390
Phone
(602) 377-9980
NPI assigned
Jul 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Courtney Peters, MA, BCBA, LBANPI 1972859841
Title
Clinical Director
Phone
(602) 377-9980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X

Addresses

Primary practice location

4340 E Indian School Rd Ste 21-194
Phoenix, AZ 85018-5390

Mailing address

4340 E Indian School Rd Ste 21-194
Phoenix, AZ 85018-5390
Phone (602) 377-9980

Other identifiers 1

IdentifierTypeStateIssuer
1972859841MedicaidAZ

National Provider Directory

National Provider Directory

Locations

4340 E Indian School Rd
Ste 21194
Phoenix, AZ 85018
Phone (480) 251-9000

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1831676998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 E INDIAN SCHOOL RD STE 21-194",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185390",
            "telephone_number": "602-377-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 E INDIAN SCHOOL RD STE 21-194",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185390",
            "telephone_number": "602-377-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTO THE SPECTRUM SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "602-377-9980",
        "authorized_official_credential": "MA, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972859841",
            "state": "AZ"
        }
    ],
    "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 Jul 27, 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.