Parent Information Distribution Center, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PARENT INFORMATION DISTRIBUTION CENTER, INC

Practice address

2219 S 48TH St Ste I&J
Tempe, AZ 85282-1010

Phone

(623) 383-0375

NPI assigned

May 8, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Hull-Berry

Title

Executive Director

Phone

(623) 383-0375

Specialties & licenses 2

Addresses

Other names 2

• PIDC Former legal business name
• Parent Information Distribution Center, Inc Former legal business name

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1922798677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15887 W LINDEN ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384158",
            "telephone_number": "623-383-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 S 48TH ST STE I&J",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821010",
            "telephone_number": "623-383-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARENT INFORMATION DISTRIBUTION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "HULL-BERRY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "623-383-0375",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIDC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Parent Information Distribution Center, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.