NPIMap

Organization Active NPI

Division of Developmental Disabilities

  • Case Management Agency
  • Phoenix, AZ
National Provider Identifier
1831687847
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DIVISION OF DEVELOPMENTAL DISABILITIES
Practice address
1789 W. Jefferson Street 4SE
Mail Drop 2HC6
Phoenix, AZ 85007-3202
Phone
(480) 276-4430
Fax
(602) 542-3396
NPI assigned
Apr 25, 2018
Last updated
Apr 25, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
DEPARTMENT OF ECONOMIC SECURITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Authorized official

Name
Ms. Maureen Casey
Title
De Asst Dir DDD, DDD
Phone
(602) 771-5376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1789 W. Jefferson Street 4SE
Mail Drop 2HC6
Phoenix, AZ 85007-3202

Mailing address

1789 W. Jefferson Street 4SE
Mail Drop 2HC6
Phoenix, AZ 85007-3202
Phone (602) 542-6855

Other names 1

  • Dept of Economic Security/Division of Developmental Disabilities Other name

National Provider Directory

National Provider Directory
Tax ID family
Southern Arizona Mental32 organizations share this tax ID, including this one
Part of
Southern Arizona Mental

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Locations

1789 W Jefferson St
#4
Phoenix, AZ 85007
Phone (480) 276-4430

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1831687847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 W. JEFFERSON STREET 4SE",
            "address_2": "MAIL DROP 2HC6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850073202",
            "telephone_number": "602-542-6855",
            "fax_number": "602-542-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 W. JEFFERSON STREET 4SE",
            "address_2": "MAIL DROP 2HC6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850073202",
            "telephone_number": "480-276-4430",
            "fax_number": "602-542-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVISION OF DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPARTMENT OF ECONOMIC SECURITY",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "DE ASST DIR DDD, DDD",
        "authorized_official_telephone_number": "602-771-5376",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dept of Economic Security/Division of Developmental Disabilities",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 25, 2018; 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.