FAMILY SERVICE AGENCY (NPI# 1740487222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740487222 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICE AGENCY |
| Practice Address |
1107 S Gilbert Rd Suite 104 Mesa AZ 85204-5232 |
| Mailing Address |
2400 N Central Ave Suite101 Phoenix AZ 85004-1341 |
| Practice Telephone | 6022649891 |
| Practice Fax Number | 6022342639 |
| Mailing Telephone | 6022649891 |
| Mailing Fax Number | 6022342639 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2018-03-06 |
| Authorized Official Name | MS. CLARICE PARHAM (CEO/PRESIDENT) |
| Authorized Official Telephone | 6022649891 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251V00000X | Voluntary or Charitable | BH-1277 | AZ | Agencies |
| Y | 251V00000X | Voluntary or Charitable | OTC8084 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 117079 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427380385 | Family Service Agency | Counselor | 943 S Gilbert Rd, Ste. 400, Mesa, AZ 85204-4441 | 2010-02-03 |
| 1255538732 | Family Service Agency | Voluntary or Charitable | 10220 N 31st Ave Ste 103-105, Phoenix, AZ 85051-9581 | 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 |
1107 S GILBERT RD SUITE 104 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-5232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144735994 | College of Consent | Voluntary or Charitable | 4016 E Covina St, Mesa, AZ 85205-9317 | 2017-12-01 |
| 1760934988 | Patrick Wayne Stewart | Voluntary or Charitable | 1621 E Jacinto Ave, 6895, Mesa, AZ 85204-6895 | 2016-11-04 |
| 1629485180 | East Valley Adult Resources | Voluntary or Charitable | 45 W University Dr, Mesa, AZ 85201-5831 | 2014-07-16 |
| 1467481283 | Child Crisis Center Inc. | Voluntary or Charitable | 817 N Country Club Dr, Mesa, AZ 85201-4105 | 2006-07-02 |
| 1578508883 | Survivors Educating Loving Friends and Family, Inc. | Voluntary or Charitable | 340 W University Dr Ste 19, Mesa, AZ 85201-5827 | 2006-06-19 |
| 1316363856 | Child Crisis Center Inc. | Voluntary or Charitable | 170 W University Dr, Mesa, AZ 85201-5836 | 2014-03-07 |
| 1841498474 | New Arizona Family Inc | Voluntary or Charitable | 650 W Southern Ave, Mesa, AZ 85210-5032 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619504602 | Cherish Families | Voluntary or Charitable | 280 W. Township Ave, Colorado City, AZ 86021 | 2020-03-27 |
| 1083270854 | Vision With Wings | Voluntary or Charitable | 9617 N. Metro Pkwy West, Ste. 1214, Phoeniz, AZ 85051 | 2019-05-16 |
| 1518457290 | Raising Special Kids | Voluntary or Charitable | 5025 E Washington St Ste 204, Phoenix, AZ 85034-7439 | 2018-05-17 |
| 1528502069 | Therapeutic Ranch for Animaks and Kids (trak) | Voluntary or Charitable | 3250 E Allen Rd, Tucson, AZ 85718-6663 | 2016-12-16 |
| 1285086264 | Cares Ministries Intl | Voluntary or Charitable | 4538 W Aster Dr, Glendale, AZ 85304-2149 | 2016-07-01 |
| 1700236296 | Youth Education and Social Services | Voluntary or Charitable | 888 S 165th Ln, Goodyear, AZ 85338-6013 | 2016-06-15 |
| 1326385899 | Aviva Children's Services | Voluntary or Charitable | 153 S Plumer Ave, Tucson, AZ 85719-6300 | 2013-01-03 |
| 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 |
| 1720391899 | Christian Faith Inc. | Voluntary or Charitable | 245 N. Litchfield Rd., #143, Goodyear, AZ 85338 | 2010-07-19 |
| Find all providers with the same taxonomy | ||||
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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.