NPIMap

Organization Active NPI

Maricopa Integrated Health System

  • Psychiatric Hospital
  • Mesa, AZ
National Provider Identifier
1013171263
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
14523 Issued in AZ
Legal business name
MARICOPA INTEGRATED HEALTH SYSTEM
Practice address
570 W Brown Rd
Mesa, AZ 85201-3227
Phone
(480) 344-2028
NPI assigned
Jul 16, 2008
Last updated
Jul 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William James, M.D.NPI 1952340028
Title
Program Director
Phone
(480) 344-2028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 14523 AZ Primary
Special Hospital 284300000X NU

Addresses

Primary practice location

570 W Brown Rd
Mesa, AZ 85201-3227

Mailing address

570 W Brown Rd
Mesa, AZ 85201-3227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013171263. Details of each certification follow.

Hospital certification: CCN 034008

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CHARTER MESA BEHAVIORAL HEALTH SYSTEM
Certification status
Terminated Voluntary: merger or closure, Dec 14, 2000
Provider type (POS)
Hospital – Psychiatric
Participating since
Feb 2, 1987
Last certification
Jan 30, 1998
Beds
82
Ownership / control type
Private (for profit)
Most recent change of ownership
Sep 28, 1998 (1 total)
Facility address
570 West Brown Road
Mesa, AZ 85201

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1013171263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 W BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 W BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013227",
            "telephone_number": "480-344-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICOPA INTEGRATED HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "480-344-2028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "AZ",
            "license": "14523",
            "primary": true
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.