The Cedar Sanctuary,LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

THE CEDAR SANCTUARY,LLC

Doing business as

Desert Cedar

Practice address

610 N Alma School Rd
Suite #24
Chandler, AZ 85224-3600

Phone

(480) 899-9878

NPI assigned

Sep 29, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Shella Michel

Title

Owner

Phone

(602) 723-7714

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Desert Cedar Doing business as

Tax ID family

Desert Cedar2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Cedar Sanctuary LLC

  • Adult Mental Health Clinic/Center
  • Scottsdale, AZ
  • NPI 1083994461
  NPD tax ID

Locations

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1992039515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N ALMA SCHOOL RD",
            "address_2": "SUITE #24",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243600",
            "telephone_number": "480-899-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N ALMA SCHOOL RD",
            "address_2": "SUITE #24",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243600",
            "telephone_number": "480-899-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CEDAR SANCTUARY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "SHELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-723-7714",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444586",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Cedar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.