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Antonia Marie Lee Adams

Physician β€’ Phoenix, AZ

Deactivated NPI 1033792163 Deactivated in NPPES Female Practitioner
Practice location in NPPES

14804 N Cave Creek Rd Ste 105
Phoenix, AZ 850324945

Phone: 4804094696

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of September 14, 2021; the reason is not published. The records below are historical. They do not show whether Antonia Adams currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date May 05, 2021
NPI Deactivation Date September 14, 2021
NPI Active Period 2021 – 2021

Practice Location & Contact Primary Location

Practice Address

14804 N Cave Creek Rd Ste 105

Phoenix, AZ 850324945

Telephone 4804094696
Organization at the Same NPPES Address or Phone
Divine Care Family Services Llc Facility NPI 1821675612

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Phoenix and Arizona

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Community/Behavioral Health Primary Specialty

NUCC Taxonomy Code: 251S00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
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Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated September 14, 2021

NPPES lists this NPI as deactivated as of September 14, 2021; the reason is not published.

βœ…
NPI Profile Active May 05, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 05, 2021

Registered at 14804 N CAVE CREEK RD STE 105, PHOENIX, AZ 850324945 (Tel: 4804094696)

πŸ“
Business Mailing Address (Initial Record) May 05, 2021

Registered at 28147 E KALONG CIR, SOUTHFIELD, MI 480345642 (Tel: 2482839362)

πŸ‘€
Provider Name / Credentials (Initial Record) May 05, 2021

Recorded as ANTONIA ADAMS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2021

Community/Behavioral Health

🟒
Initial NPI Registration & Enumeration May 05, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1033792163
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2021
Last Update: May 05, 2021
Deactivation Date: September 14, 2021

Mailing Address

28147 E Kalong Cir

Southfield, MI 480345642

Phone: 2482839362

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.