Active NPI
Certitude Group LLC
- Developmentally Disabled Services Day Training Agency
- Peoria, AZ
National Provider Identifier
1952855736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- CERTITUDE GROUP LLC
- Practice address
- 8155 W Thunderbird Rd
Peoria, AZ 85381-4159 - Phone
- (480) 540-4130
- NPI assigned
- Aug 9, 2016
- Last updated
- Aug 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rhondalen Jae Krenzelok
- Title
- Executive Director
- Phone
- (480) 540-4130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | Primary |
Addresses
Primary practice location
8155 W Thunderbird Rd
Peoria, AZ 85381-4159
Mailing address
9319 W Hatcher Rd
Peoria, AZ 85345-6312
Phone (602) 301-9447
National Provider Directory
National Provider DirectoryLocations
8155 W Thunderbird Rd
Peoria, AZ 85381
Phone (480) 540-4130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470700800000",
"number": "1952855736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9319 W HATCHER RD",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853456312",
"telephone_number": "602-301-9447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8155 W THUNDERBIRD RD",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814159",
"telephone_number": "480-540-4130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CERTITUDE GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-09",
"last_updated": "2016-08-09",
"status": "A",
"authorized_official_last_name": "KRENZELOK",
"authorized_official_first_name": "RHONDALEN",
"authorized_official_middle_name": "JAE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "480-540-4130",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Elizabeth Rose Cerny, DC
- Jenny Cerutti Vargas, PMHNP
- Andrea Cervantes
- Rachel Lauren Cetta, DO
- Jay Harivadan Chadderwala, PHARM. D
- Yesenia Chagolla
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.