NPIMap

Organization Active NPI

Magellan Health Services - Tempe

  • Case Management Agency
  • Tempe, AZ
National Provider Identifier
1871764746
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MAGELLAN HEALTH SERVICES - TEMPE
Practice address
1225 E Broadway Rd
Tempe, AZ 85282-1525
Phone
(480) 929-5100
Fax
(480) 731-1066
NPI assigned
Mar 18, 2008
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Mrs. Mary M. Deffenbaugh, RN
Title
Registered Nuse - Clinic
Phone
(480) 929-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

1225 E Broadway Rd
Tempe, AZ 85282-1525

Mailing address

1225 E Broadway Rd
Tempe, AZ 85282-1525
Phone (480) 929-5100

National Provider Directory

National Provider Directory
Tax ID family
Magellan Health Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1871764746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E BROADWAY RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821525",
            "telephone_number": "480-929-5100",
            "fax_number": "480-731-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E BROADWAY RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821525",
            "telephone_number": "480-929-5100",
            "fax_number": "480-731-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGELLAN HEALTH SERVICES - TEMPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "DEFFENBAUGH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "REGISTERED NUSE - CLINIC",
        "authorized_official_telephone_number": "480-929-5100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.