MARK ALLEN FDT
NPI 1720024839
Psychiatric Residential Treatment Facility in Phoenix, AZ

Active since June 20, 2006
2622 W STATE AVE, PHOENIX, AZ 85051(602) 973-3727(602) 841-2864 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Allen Fdt NPPES

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

MARK ALLEN FDT (NPI 1720024839) is a healthcare organization registered as a psychiatric residential treatment facility in Phoenix, Arizona and active in the NPI registry since June 2006. The organization lists Dona Maria Harms, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1720024839
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameMARK ALLEN FDT
Location Address2622 W STATE AVEPhoenix, AZ 85051
Mailing Address2622 W State AvePhoenix, AZ 85051 · (602) 973-3727 · Fax (602) 841-2864
Fax(602) 841-2864
Organization SubpartNo
Authorized OfficialDona Maria HarmsExecutive Director · (602) 973-3727
Enumeration DateJune 20, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1720024839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
2622 W STATE AVE, Phoenix, AZ 85051

Other Identifiers 1

Other754342AZ · Ahcus

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 Mark Allen Fdt's NPI number?

The NPI number for Mark Allen Fdt is 1720024839. It was assigned to this organization in the NPPES registry on June 20, 2006.

Where is Mark Allen Fdt located?

Mark Allen Fdt is located at 2622 W State Ave, Phoenix, AZ 85051. The listed phone number is (602) 973-3727.

What is Mark Allen Fdt's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

When was this NPI record last updated?

The NPPES record for Mark Allen Fdt was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.