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SEQUELCARE OF ARIZONA NPI 1679809636


NPI Information

NPI: 1679809636
Provider Name: SEQUELCARE OF ARIZONA

Other Name: TAP PROGRAM OUTPATIENT CLINIC - TEMPE

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2020 S MCCLINTOCK DRIVE SUITE 105
TEMPE, AZ
ZIP 85282
Phone: (480) 284-7304
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SEQUELCARE OF ARIZONA is a community behavioral health in Tempe, 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. SEQUELCARE OF ARIZONA NPI is 1679809636. The provider is registered as an organization entity type.
The provider Other Name Is Tap Program Outpatient Clinic - Tempe.

The provider's business location address is:

2020 S MCCLINTOCK DRIVE SUITE 105
TEMPE, AZ
ZIP 85282
Phone: (480) 284-7304
Fax: (480) 284-7616

The provider's authorized official is Wendy Razo .
The authorized official title is Executive Director and has the following contact phone number (928) 777-3280.

The enumeration date for this NPI number is 10/27/2009 and was last updated on 3/7/2018.


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 HealthBH-3420ARIZONANo
2251S00000XCommunity/Behavioral HealthOTC8667ARIZONAYes

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
1476196MEDICAIDARIZONA
2BH-3420OTHERARIZONAAHCCCS
3OTC8667OTHERARIZONAOUTPATIENT TREATMENT CENTER

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: 4/28/2024

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