1407957467 NPI number — ARIZONA BAPTIST CHILDREN'S SERVICES

Table of content: DR. GAYATRI SINGH LCSW, LMFT, APRN (NPI 1992029052)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407957467 NPI number — ARIZONA BAPTIST CHILDREN'S SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARIZONA BAPTIST CHILDREN'S SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407957467
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 35637
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHOENIX
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85069-5637
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-346-2300
Provider Business Mailing Address Fax Number:
602-346-2399

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1717 W NORTHERN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85021-5469
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-346-2300
Provider Business Practice Location Address Fax Number:
602-346-2399
Provider Enumeration Date:
09/25/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MCDANIEL
Authorized Official First Name:
DON
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
SENIOR VICE PRESIDENT
Authorized Official Telephone Number:
602-346-2319

Provider Taxonomy Codes

  • Taxonomy code: 322D00000X , with the licence number:  BH2784 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 322D00000X , with the licence number: BH1340 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 322D00000X , with the licence number: BH2681 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 044678 . This is a "AHCCCS PROVIDER ID NO" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 011411 . This is a "AHCCCS PROVIDER ID NO." identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 1020012 . This is a "ADHS PROVIDER ID NO" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 117284 . This is a "AHCCCS PROVIDER ID NO." identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 1020005 . This is a "ADHS PROVIDER ID NO." identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 1020010 . This is a "ADHS PROVIDER ID NO." identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".