Organization Active NPI

Safe Ark Wellness LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1013622638
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SAFE ARK WELLNESS LLC
Practice address
3336 N 32ND St Ste 111
Phoenix, AZ 85018-6241
Phone
(480) 876-4344
NPI assigned
Jan 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Ms. Frieda S Kamanzi
Title
Administrator
Phone
(480) 876-4344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3336 N 32ND St Ste 111
Phoenix, AZ 85018-6241

Mailing address

3336 N 32ND St Ste 111
Phoenix, AZ 85018-6241
Phone (480) 876-4344

Other names 1

  • Safe Ark Wellness Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL https://www.therapynotes.com/app/ Health Information Exchange (HIE)
SOAP URL https://www.therapynotes.com/app/ Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1013622638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 N 32ND ST STE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186241",
            "telephone_number": "480-876-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 N 32ND ST STE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186241",
            "telephone_number": "480-876-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE ARK WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "KAMANZI",
        "authorized_official_first_name": "FRIEDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-876-4344",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://www.therapynotes.com/app/",
            "affiliation": "N",
            "endpointDescription": "Therapy notes",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Therapy notes",
            "address_1": "3336 N 32nd St Ste 111",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850186241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://www.therapynotes.com/app/",
            "affiliation": "N",
            "endpointDescription": "Therapy Notes",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Therapy notes",
            "address_1": "3336 N 32nd St Ste 111",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850186241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Safe Ark Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.