FAMILY SERVICE AGENCY (NPI# 1255538732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255538732 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICE AGENCY |
| Practice Address |
10220 N 31st Ave Ste 103-105 Phoenix AZ 85051-9581 |
| Mailing Address |
2400 N Central Ave Suite101 Phoenix AZ 85004-1341 |
| Practice Telephone | 6028631862 |
| Practice Fax Number | 6028634388 |
| Mailing Telephone | 6022649891 |
| Mailing Fax Number | 6022342639 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2018-06-18 |
| Authorized Official Name | MR. CLARICE PARHAM (CEO / PRESIDENT) |
| Authorized Official Telephone | 6022649891 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | BH-383 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BEHAVIORAL HEALTH LICENSE | BH-383 | 01 |
| AZ | AHCCCS | 117178 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10240 N 31st Avenue, Suite 122, Phoenix, AZ 85051 | 6022649891 | 6028634388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427380385 | Family Service Agency | Counselor | 943 S Gilbert Rd, Ste. 400, Mesa, AZ 85204-4441 | 2010-02-03 |
| 1740487222 | Family Service Agency | Voluntary or Charitable | 1107 S Gilbert Rd, Suite 104, Mesa, AZ 85204-5232 | 2007-06-28 |
| 1477597193 | Family Service Agency | Voluntary or Charitable | 2400 N. Central Avenue, Suite 101, Phoenix, AZ 85004-1341 | 2006-06-15 |
| 1184974347 | Family Service Agency | Community/Behavioral Health | 104 Walnut Ave, Suite 208, Santa Cruz, CA 95060-3900 | 2012-09-14 |
| 1942587217 | Family Service Agency | Point of Service | 943 S Gilbert Rd, Mesa, AZ 85204-4441 | 2011-11-14 |
| 1013071232 | Family Service Agency | Community/Behavioral Health | 555 Northgate Dr, Family Service Agency of Marin, San Rafael, CA 94903-3680 | 2006-12-21 |
| 1861561946 | Family Service Agency | Marriage & Family Therapist | 555 Northgate Dr, San Rafael, CA 94903-3680 | 2006-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY SERVICE AGENCY | 535 Marmion Ave, Youngstown, OH 44502-2323 |
| System for Award Management (SAM) Entities | FAMILY SERVICE AGENCY OF MICHIGAN | 1422 W Court St, Flint, MI 48503-5008 |
| System for Award Management (SAM) Entities | FAMILY SERVICE AGENCY OF SANTA BARBARA COUNTY | 123 W Gutierrez St, Santa Barbara, CA 93101-3424 |
| Washington State Corporations | FAMILY SERVICE AGENCY OF SANTA BARBARA COUNTY | 123 W Gutierrez St, Santa Barbara, CA 93101-3424 |
| Street Address |
10220 N 31ST AVE STE 103-105 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85051-9581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184250383 | Jhajaira Elizabeth Cadenas | Optometrist | 3937 W Northview Ave, Phoenix, AZ 85051 | 2020-03-19 |
| 1083270854 | Vision With Wings | Voluntary or Charitable | 9617 N. Metro Pkwy West, Ste. 1214, Phoeniz, AZ 85051 | 2019-05-16 |
| 1417510405 | Applied Behavioral Interventions Pllc | Dietitian, Registered | 10000 N. 31st Avenue Ste. A107, Phoenix, AZ 85051 | 2019-04-16 |
| 1558832683 | Liberty Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9649 N 36th Ave, Phoenix, AZ 85051 | 2018-12-16 |
| 1518459080 | Addie Robin Diroberts | Counselor | 10240 W. 31st Ave, Phoenix, AZ 85051 | 2018-05-31 |
| 1093239816 | Jason Allan Parker | Licensed Practical Nurse | 3310 West Cheryl Drive, Phoenix, AZ 85051 | 2017-08-02 |
| 1588019145 | Vanessa Eloise Hernandez | Counselor | 10000 N. 31st Ave., Applied Behavioral Interventions, Pllc, Phoenix, AZ 85051 | 2016-05-02 |
| 1912230178 | Mozelle Barr Martin | Counselor | 3734 W. Vista Ave., Phoenix, AZ 85051 | 2009-09-04 |
| 1316184542 | Tom Sowash Od & Associates PC | Optometrist | 9617 North Parkway West, #1160, Phoenix, AZ 85051 | 2009-01-09 |
| 1609026913 | Luma Z Sayegh | Dentist | 7012 N 35th Ave, Suite 1, Phoenix, AZ 85051 | 2008-09-23 |
| Find all providers in zip 85051 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518457290 | Raising Special Kids | Voluntary or Charitable | 5025 E Washington St Ste 204, Phoenix, AZ 85034-7439 | 2018-05-17 |
| 1174885271 | Music Therapy Matters | Voluntary or Charitable | 625 W Deer Valley Rd Ste 103310, Phoenix, AZ 85027-2185 | 2012-06-13 |
| 1467710723 | Seeds for Autism | Voluntary or Charitable | 711 N 15th Ave, Phoenix, AZ 85007-2251 | 2012-04-24 |
| 1851623169 | Ronald Mcdonald House Charities of Phoenix | Voluntary or Charitable | 501 E Roanoke Ave, Phoenix, AZ 85004-1013 | 2010-02-11 |
| 1255547444 | Lifewell Behavioral Wellness | Voluntary or Charitable | 119 W. Highland Avenue, Phoenix, AZ 85013-4707 | 2007-05-15 |
| 1639290471 | Area Agency On Aging, Region One, Inc | Voluntary or Charitable | 1366 E Thomas Rd, Suite 108, Phoenix, AL 85014 | 2007-04-02 |
| 1366574279 | Life Choices Womens Clinic | Voluntary or Charitable | 9303 N 7th Street, Suite 4, Phoenix, AZ 85020 | 2007-03-09 |
| 1154471175 | New Arizona Family, Inc | Voluntary or Charitable | 2019 N 25th Pl, Phoenix, AZ 85008-2774 | 2007-01-11 |
| 1871664680 | Friendly House, Inc. | Voluntary or Charitable | 802 S 1st Ave, Phoenix, AZ 85003-2504 | 2006-11-13 |
| 1821178732 | New Arizona Family, Inc | Voluntary or Charitable | 302 E Southern Ave, Phoenix, AZ 85040-3044 | 2006-10-16 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.