Organization Active NPI

The Phoenix Children's Center, LTD

  • Primary Care Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1841643632
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
AP8802 Issued in AZ
Legal business name
THE PHOENIX CHILDREN'S CENTER, LTD
Practice address
1661 E Camelback Rd
Ste 170
Phoenix, AZ 85016-3911
Phone
(602) 279-7767
Fax
(602) 274-1552
NPI assigned
Jul 18, 2016
Last updated
Jul 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Mrs. Jennifer Lynn Williams
Title
Office Manager
Phone
(602) 279-7767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X AP8802 AZ Primary

Addresses

Primary practice location

1661 E Camelback Rd
Ste 170
Phoenix, AZ 85016-3911

Mailing address

1661 E Camelback Rd
Ste 170
Phoenix, AZ 85016-3911
Phone (602) 279-7767

National Provider Directory

National Provider Directory
Tax ID family
The Phoenix Children's Center LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1661 E Camelback Rd
Ste 170
Phoenix, AZ 85016
Phone (602) 263-9550

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1841643632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 E CAMELBACK RD",
            "address_2": "STE 170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163911",
            "telephone_number": "602-279-7767",
            "fax_number": "602-274-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 E CAMELBACK RD",
            "address_2": "STE 170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163911",
            "telephone_number": "602-279-7767",
            "fax_number": "602-274-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHOENIX CHILDREN'S CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-279-7767",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "AP8802",
            "primary": true
        }
    ],
    "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 Jul 18, 2016; 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.