NPIMap

Organization Active NPI

United Cerebral Palsy Association of Central Arizona

  • Developmentally Disabled Services Day Training Agency
  • Phoenix, AZ
National Provider Identifier
1982673992
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
UNITED CEREBRAL PALSY ASSOCIATION OF CENTRAL ARIZONA
Practice address
1802 W Parkside LN
Phoenix, AZ 85027-1322
Phone
(602) 943-5472
Fax
(602) 943-4936
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Kentay Garvin
Title
President & Ceo
Phone
(602) 943-5472

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X AZ
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X AZ
Case Management Agency 251B00000X AZ
Developmentally Disabled Services Day Training Agency 251C00000X AZ Primary
Home Health Agency 251E00000X AZ
Voluntary or Charitable Agency 251V00000X AZ
Non-emergency Medical Transport (VAN) 343900000X AZ
Child Physical Disabilities Respite Care 385HR2065X AZ

Addresses

Primary practice location

1802 W Parkside LN
Phoenix, AZ 85027-1322

Mailing address

1802 W Parkside LN
Phoenix, AZ 85027-1322
Phone (602) 943-5472

Other names 1

  • UCP of Central Arizona Other name

National Provider Directory

National Provider Directory

Locations

1802 W Parkside Ln
Phoenix, AZ 85027
Phone (602) 943-5472

1007 N 7th St
Phoenix, AZ 85006
Phone (602) 943-5472

5025 E Washington St
Ste 108
Phoenix, AZ 85034
Phone (602) 313-8999

Practitioners & affiliated clinicians

Practitioners 62

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

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1982673992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 W PARKSIDE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271322",
            "telephone_number": "602-943-5472",
            "fax_number": "602-943-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 W PARKSIDE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271322",
            "telephone_number": "602-943-5472",
            "fax_number": "602-943-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY ASSOCIATION OF CENTRAL ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "GARVIN",
        "authorized_official_first_name": "KENTAY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "602-943-5472"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCP of Central Arizona",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.