NEURODIVERSITY EDUCATION RESEARCH CENTER
NPI 1093550535
Clinic/Center - Developmental Disabilities in Phoenix, AZ

Active since June 26, 2024
1375 E BROADWAY RD, PHOENIX, AZ 85040(602) 832-4708 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Neurodiversity Education Research Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEURODIVERSITY EDUCATION RESEARCH CENTER (NPI 1093550535) is a healthcare organization registered as a developmental disabilities in Phoenix, Arizona and active in the NPI registry since June 2024. The organization lists Kenneth Mims, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093550535
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameNEURODIVERSITY EDUCATION RESEARCH CENTER
Location Address1375 E BROADWAY RDPhoenix, AZ 85040-2305
Mailing Address515 E Grant St Ste 150Phoenix, AZ 85004-2750 · (602) 832-4708
Organization SubpartNo
Authorized OfficialKenneth MimsCeo · (480) 939-6013
Enumeration DateJune 26, 2024
NPPES CertifiedJune 26, 2024
NPI 1093550535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
1375 E BROADWAY RD, Phoenix, AZ 85040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neurodiversity Education Research Center's NPI number?

The NPI number for Neurodiversity Education Research Center is 1093550535. It was assigned to this organization in the NPPES registry on June 26, 2024.

Where is Neurodiversity Education Research Center located?

Neurodiversity Education Research Center is located at 1375 E Broadway Rd, Phoenix, AZ 85040. The listed phone number is (602) 832-4708.

What is Neurodiversity Education Research Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Neurodiversity Education Research Center was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.