FCS COMMUNITY BASED SERVICES
NPI 1154358422
Community/Behavioral Health in Phoenix, AZ

NPI Status: Active since June 26, 2006

Contact Information

715 W MARIPOSA ST
PHOENIX, AZ
ZIP 85013
Phone: (602) 274-7318
Fax: (602) 274-7549

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  • Organization
  • Community/Behavioral Health
  • Accepts Insurance
  • CLIA Number: 03D2299996
  • CLIA Cert. Type: Other - BEHAVIORAL HEALTH RESIDEN
  • CLIA Exp. Date: 02-28-2026

About FCS COMMUNITY BASED SERVICES

This page provides the complete NPI Profile along with additional information for Fcs Community Based Services, a provider established in Phoenix, Arizona operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1154358422 assigned on June 2006. The practitioner's primary taxonomy code is 251S00000X with license number OTC6608 (AZ). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Fcs Community Based Services. The authorized official of this NPI record is Kellie M. Warren Psy.d. (Ceo)

NPI
1154358422
Provider Legal Name
FLORENCE CRITTENTON SERVICES OF ARIZONA, INC.
Other Organization Name
FCS COMMUNITY BASED SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
715 W MARIPOSA ST PHOENIX, AZ 85013
Location Phone
(602) 274-7318
Location Fax
(602) 274-7549
Mailing Address
715 W MARIPOSA ST PHOENIX, AZ 85013
Mailing Phone
(602) 274-7318
Mailing Fax
(602) 274-7549
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-26-2006
Last Update Date
12-05-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
OTC6608
License State
AZ
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

BH-2133 (AZ)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue ACA StandardHealth Silver with Health Choice - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELLIE M. WARREN PSY.D.

Authorized Official Title
CEO
Authorized Official Phone
(602) 274-7318

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
830283MEDICAID (05)AZ 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2299996
Facility Type
Other - BEHAVIORAL HEALTH RESIDEN
Certificate Effective Date
March 01, 2024
Certificate Expiration Date
February 28, 2026
Laboratory Director
NASSER DJAVADI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fcs Community Based Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for FCS COMMUNITY BASED SERVICES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154358422
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21104651644
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 6 + 5 + 1 + 6 + 4 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1154358422 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326217308FLORENCE CRITTENTON SERVICES OF ARIZONA, INC.
Organization
Residential Treatment Facility, Emotionally Disturbed Children715 W MARIPOSA ST
PHOENIX, AZ 85013
(602) 274-7318

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154358422, enumerated in the NPI registry as an "organization" on June 26, 2006

The provider is located at 715 W Mariposa St Phoenix, Az 85013 and the phone number is (602) 274-7318

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 03D2299996 for a "other - behavioral health residen" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 26, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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