Painted Desert Demonstration Project

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

PAINTED DESERT DEMONSTRATION PROJECT

Doing business as

STAR School

Practice address

145 Leupp Rd
Flagstaff, AZ 86004-8501

Phone

(602) 412-3533

Fax

(928) 225-2179

NPI assigned

Jul 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Sorensen, ED.D

Title

Director

Phone

(602) 412-3533

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• STAR School Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen C. Babcock, M.ED.

  • Speech/Language/Hearing Specialist/Technologist
  • Flagstaff, AZ
  • NPI 1245379460
  NPD (past)

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1922208099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 LEUPP RD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860048501",
            "telephone_number": "602-412-3533",
            "fax_number": "928-225-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 LEUPP RD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860048501",
            "telephone_number": "602-412-3533",
            "fax_number": "928-225-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINTED DESERT DEMONSTRATION PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-412-3533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "908600",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianda Pagan Andino, LCSW
• Jamie Page
• Kirsten Annette Mueller Page, M.A., LMFT
• Nolan Reid Page
• Painless Peach Pain Care LLC
• Nicole Masako Paiva, PHARMD
• Megan Catherine Palacios
• Molly Moran Palley, OTR, MED
• Steven L Palley, M.D.
• John Palmeri, RN

• Local Education Agency (LEA) in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Local Education Agency (LEA) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.