West Phoenix Community Care

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WEST PHOENIX COMMUNITY CARE

Practice address

4525 W Indian School Rd
Phoenix, AZ 85031-2820

Phone

(623) 204-5522

NPI assigned

May 26, 2023

Last updated

May 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matilda Boachie, PMHNPNPI 1306571468

Title

Nurse Practitioner

Phone

(860) 967-2388

Specialties & licenses 1

Addresses

Locations

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.

• Matilda Boachie, PMHNP

  • Psychiatry Physician
  • San Tan Valley, AZ
  • NPI 1306571468
  Authorized official Same address or phone

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1013600956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850312820",
            "telephone_number": "860-967-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850312820",
            "telephone_number": "623-204-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PHOENIX COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "BOACHIE",
        "authorized_official_first_name": "MATILDA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "860-967-2388",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Indian School Community Care LLC
• West McDowell Health Center PLLC
• West Palm Valley Hospice
• West Palm Valley Hospice LLC
• West Park Medical Corp (Northwest Medical Center)
• West Phoenix Pediatrics PLC
• West Phoenix Surgical Center LLC
• West Point Optical Group
• West Valley Assists LLC
• West Valley Ear Nose and Throat PC

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.