Maggie'S Place

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MAGGIE'S PLACE

Practice address

4001 N 30TH St
Phoenix, AZ 85016-6810

Phone

(480) 221-2902

NPI assigned

Dec 30, 2019

Organization subpart

No

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

Authorized official

Name

Laura Magruder

Title

Ceo

Phone

(602) 596-4985

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1861031486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 N 30TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166810",
            "telephone_number": "480-221-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N 30TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166810",
            "telephone_number": "480-221-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGGIE'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "MAGRUDER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-596-4985"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "records@maggiesplace.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4001 N 30th St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850166810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Magellan Health Services of Arizona, Inc.
• Magellan Health SVCS. of Az, Inc. : Eligibility and Evaluations Dept
• Audrey Mager
• Jacqueline Ann Mager, NP
• Diane Maggi, LPN
• Gunjan Maggo, M.D.
• Saba Maghari, PHARMD
• Hany Magharyous, MD
• Mark S. Magier, PSY.D.
• Bonnie K Maginn, OTR/L, COTA/L

• Case Management Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Case Management Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.