Active NPI
Safe Ark Wellness LLC
- Adult Mental Health Clinic/Center
- Phoenix, AZ
National Provider Identifier
1013622638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 DirectoryNPI 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.