Organization Active NPI

A to Z Family Services, Inc.

  • Community/Behavioral Health Agency
  • Pocatello, ID
National Provider Identifier
1861544454
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
A TO Z FAMILY SERVICES, INC.
Practice address
732 Washington Ave
Pocatello, ID 83201-3748
Phone
(208) 478-9822
Fax
(208) 478-6790
NPI assigned
Jan 17, 2007
Last updated
May 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Ms. Rebecca Jo Perrenoud, LCSW CIBI
Title
Director and Clinician
Phone
(208) 478-9822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

732 Washington Ave
Pocatello, ID 83201-3748

Mailing address

732 Washington Ave
Pocatello, ID 83201-3748
Phone (208) 478-9822

Other identifiers 2

IdentifierTypeStateIssuer
806443600MedicaidID
805650600MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
A to Z Family Services Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1861544454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 WASHINGTON AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013748",
            "telephone_number": "208-478-9822",
            "fax_number": "208-478-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 WASHINGTON AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013748",
            "telephone_number": "208-478-9822",
            "fax_number": "208-478-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TO Z FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "PERRENOUD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DIRECTOR AND CLINICIAN",
        "authorized_official_telephone_number": "208-478-9822",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW CIBI"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806443600",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805650600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.