Arizona Center for Innovative Stress & Trauma Treatment LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCSW-11577 Issued in AZ

Legal business name

ARIZONA CENTER FOR INNOVATIVE STRESS & TRAUMA TREATMENT LLC

Practice address

2913 E 22ND St
Tucson, AZ 85713-2001

Phone

(520) 303-1697

Fax

(520) 347-3959

NPI assigned

Jan 19, 2016

Last updated

May 3, 2024By 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

Dr. Norma Magdaleno, DBH, LCSWNPI 1386641124

Title

Clinical Director/Therapist

Phone

(520) 444-9138

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Norma Magdaleno, LCSW

  • Clinical Social Worker
  • Tucson, AZ
  • NPI 1386641124
  NPD Authorized official
• Mark Christian Hammann

  • Counselor
  • Tucson, AZ
  • NPI 1255281291
  NPD (past)
• Cinthya Vazquez

  • Counselor
  • Tucson, AZ
  • NPI 1063362010
  NPD (past)

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1982061156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 E 22ND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857132001",
            "telephone_number": "520-303-1697",
            "fax_number": "520-347-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 E 22ND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857132001",
            "telephone_number": "520-303-1697",
            "fax_number": "520-347-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA CENTER FOR INNOVATIVE STRESS & TRAUMA TREATMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "MAGDALENO",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "520-444-9138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBH, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LCSW-11577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "456065",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Tucson, AZ
• Providers in Tucson, 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 May 3, 2024; 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.