Individual provider

Casondra Clark

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Casondra Clark is a provider specialising in Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Surprise, AZ, registered under NPI 1558210658. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 17874 W BLOOMFIELD RD, Surprise, AZ 85388. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

17874 W BLOOMFIELD RD, Surprise, AZ 85388 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities covers

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. NUCC Health Care Provider Taxonomy, code 320900000X
Residential Treatment Facilities Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1558210658 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 22, 2026
Last updatedJan 22, 2026
StatusActive
Sole proprietorYes
Practice address 17874 W BLOOMFIELD RD
Surprise, AZ 85388
(480) 465-2920
This record was updated on Jan 22, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1558210658 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 5 8 2 1 0 6 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 1 8 4 1 0 6 1

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1558210658?
NPI 1558210658 is the National Provider Identifier assigned to Casondra Clark in Surprise, AZ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility cover?
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
How do I contact Casondra Clark?
The phone number on file with NPPES is (480) 465-2920, last updated Jan 22, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1558210658 a valid number?
Yes. 1558210658 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.