Northern Arizona Substance Abuse Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

#BH-1634 Issued in AZ

Legal business name

NORTHERN ARIZONA SUBSTANCE ABUSE SERVICES

Practice address

2101 N 4TH St Ste 215
Flagstaff, AZ 86004-4200

Phone

(928) 773-9376

NPI assigned

Feb 20, 2009

Last updated

Feb 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Annette Erhart, MSW, LISAC, CCDVC,

Title

Director/Owner

Phone

(928) 773-9376

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1932349644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N 4TH ST STE 215",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860044200",
            "telephone_number": "928-773-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N 4TH ST STE 215",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860044200",
            "telephone_number": "928-773-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARIZONA SUBSTANCE ABUSE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "ERHART",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "928-773-9376",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LISAC, CCDVC,"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "#BH-1634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "597908",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northern Arizona Radiation Oncology
• Northern Arizona Radiology P C
• Northern Arizona Senior Living Community, L.L.C. (The Peaks Health & Rehabilitation)
• Northern Arizona Speech-Language Service Providers, PLLC (Northern Arizona Speech/Language Service Providers)
• Northern Arizona Spinal Care, PLLC
• Northern Arizona Surgical
• Northern Arizona Surgical Assisting LLC
• Northern Arizona Surgicenter, LLC
• Northern Arizona University
• Northern Arizona University (AZ Board of Regents on Behalf of Northern Arizona University)

• Community/Behavioral Health Agency in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.