Gleneagle Mental Health Agencies Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

BH 3402 Issued in AZ

Legal business name

GLENEAGLE MENTAL HEALTH AGENCIES INC

Practice address

20348 E Warner Rd
Mesa, AZ 85212-9655

Phone

(480) 988-9929

Fax

(480) 279-3828

NPI assigned

Nov 16, 2009

Organization subpart

No

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

Authorized official

Name

Evelyn WilliamsNPI 1548417231

Title

Clinical Director

Phone

(480) 988-9929

Specialties & licenses 3

Addresses

Tax ID family

Gleneagle Mental Health Agencies Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Williams Sudan Guest Homes

  dba Gleneagle Residential Care & Adult Day Treatment Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Chandler, AZ
  • NPI 1295965531
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evelyn Williams, CLINICAL DIRECTOR

  • Mental Illness Community Based Residential Treatment Facility
  • Mesa, AZ
  • NPI 1548417231

  Community/Behavioral Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1013244813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20348 E WARNER RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129655",
            "telephone_number": "480-988-9929",
            "fax_number": "480-279-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20348 E WARNER RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129655",
            "telephone_number": "480-988-9929",
            "fax_number": "480-279-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENEAGLE MENTAL HEALTH AGENCIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "480-988-9929"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH 3402",
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "AZ",
            "license": "BH 3402",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH 3402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent E. Glaub
• Melissa Glaus, PA-C
• Glauser Williams Orthodontics
• Glen N Robison DPM PLC
• Glendale Pediatrics LLC (GP Family Care Mesa)
• Glenn H Brown MD PLLC
• Karissa Glenn
• Kevin Lloyd Glenn, LAC
• Jamie Glick, LCSW
• Michael Glick, D.M.D

• Mental Illness Community Based Residential Treatment Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.