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JEWISH FAMILY & CHILDRENS SERVICE NPI 1467520577


NPI Profile

NPI: 1467520577
Provider Name: JEWISH FAMILY & CHILDRENS SERVICE
Classification:Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 03D2106437

Address:
3001 N 33RD AVE
PHOENIX, AZ
ZIP 85017
Get Directions

Phone: (602) 353-0703

JEWISH FAMILY & CHILDRENS SERVICE is a community behavioral health in Phoenix, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. JEWISH FAMILY & CHILDRENS SERVICE NPI is 1467520577. The provider is registered as an organization entity type.

The provider's business location address is:

3001 N 33RD AVE
PHOENIX, AZ
ZIP 85017-202
Phone: (602) 353-0703
Fax: (602) 353-0715

The provider's authorized official is Lorrie Henderson .
The authorized official title is President And Ceo and has the following contact phone number (602) 279-7655.

The CLIA number assigned to this NPI record is 03D2106437 - other practitioner with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/30/2006 and was last updated on 3/6/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthOTC6891ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1120867MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/14/2021

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