Organization Active NPI

Terros, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
National Provider Identifier
1992866834
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
OTC-6020 Issued in AZ
Legal business name
TERROS, INC.
Practice address
3864 N 27TH Ave
Phoenix, AZ 85017-4703
Phone
(602) 685-6000
Fax
(602) 212-6250
NPI assigned
Dec 13, 2006
Organization subpart
Yes
Parent organization
TERROS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Mrs. Karen Hoffman Tepper
Title
President & Ceo
Phone
(602) 685-6000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X OTC-6020 AZ Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X OTC-6020 AZ
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

3864 N 27TH Ave
Phoenix, AZ 85017-4703

Mailing address

3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Phone (602) 685-6000

Other identifiers 1

IdentifierTypeStateIssuer
103465MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050429000811 AZ Part B Supplier - Clinic/Group Practice 8224077045 Receives reassigned benefits from 120 practitioners
27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tucson, AZ; Tempe, AZ; Phoenix, AZ; Flagstaff, AZ; Glendale, AZ; Kingman, AZ; Mesa, AZ

Other NPIs on the same Medicare enrollment 21

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 21

National Provider Directory

National Provider Directory
Tax ID family
Terrosinc35 organizations share this tax ID, including this one
Part of
Terrosinc

Other organizations with this tax ID 34

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

View all 34

Locations

1750 S Woodlands Village Blvd
Ste 135
Flagstaff, AZ 86001

5801 N 51st Ave
Ste 109
Glendale, AZ 85301
Phone (623) 931-5810

4425 W Olive Ave
Ste 140200
Glendale, AZ 85302

6153 W Olive Ave
Glendale, AZ 85302
Phone (602) 685-6120

5801 N 51st Ave
Ste 107
Glendale, AZ 85301

4425 W Olive Ave
Ste 140
Glendale, AZ 85302
Phone (623) 229-5825

5801 N 51st Ave
Glendale, AZ 85301

1455 S Stapley Dr
Ste 13
Mesa, AZ 85204
Phone (480) 485-7451

2400 W Dunlap Ave
Ste 300
Phoenix, AZ 85021
Phone (602) 943-2999

5030 W McDowell Rd
Ste 14
Phoenix, AZ 85035

10220 N 31st Ave
Ste 120
Phoenix, AZ 85051

1802 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 302-7807

4616 N 51st Ave
Ste 201
Phoenix, AZ 85031

12835 N 32nd St
Phoenix, AZ 85032
Phone (602) 389-3660

5030 W McDowell Rd
Ste 106
Phoenix, AZ 85035

3131 E 2nd St
Tucson, AZ 85716
Phone (520) 477-8697

Practitioners & affiliated clinicians

Practitioners 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1992866834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122929",
            "telephone_number": "602-685-6000",
            "fax_number": "602-685-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3864 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174703",
            "telephone_number": "602-685-6000",
            "fax_number": "602-212-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERROS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TERROS, INC.",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "TEPPER",
        "authorized_official_first_name": "KAREN HOFFMAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "602-685-6000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AZ",
            "license": "OTC-6020",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "AZ",
            "license": "OTC-6020",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103465",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.