NPIMap

Organization Active NPI

A New Leaf, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Glendale, AZ
National Provider Identifier
1023107372
Registry record updated Jul 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
BH2535 Issued in AZ
Legal business name
A NEW LEAF, INC.
Practice address
8802 N 61St Ave
Glendale, AZ 85302-4521
Phone
(623) 934-1991
Fax
(480) 733-3031
NPI assigned
Oct 12, 2006
Last updated
Jul 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2013

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

Authorized official

Name
Mr. Michael T. Hughes
Title
Ceo
Phone
(480) 969-4024

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X BH2535 AZ
Adolescent and Children Mental Health Clinic/Center 261QM0855X BH2535 AZ Primary

Addresses

Primary practice location

8802 N 61St Ave
Glendale, AZ 85302-4521

Mailing address

868 E University Dr
Mesa, AZ 85203-8033
Phone (480) 969-4024

Other identifiers 2

IdentifierTypeStateIssuer
BH2535OtherAZLICENSE NUMBER
909351OtherAZAHCCCS NUMBER

National Provider Directory

National Provider Directory
Tax ID family
A New Leaf Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

8802 N 61st Ave
Glendale, AZ 85302
Phone (602) 939-3939

Practitioners & affiliated clinicians

Practitioners 4

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374278400000",
    "number": "1023107372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038033",
            "telephone_number": "480-969-4024",
            "fax_number": "480-969-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8802 N 61ST AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024521",
            "telephone_number": "623-934-1991",
            "fax_number": "480-733-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A NEW LEAF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-07-20",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-969-4024",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "AZ",
            "license": "BH2535",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "AZ",
            "license": "BH2535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "BH2535",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS NUMBER",
            "identifier": "909351",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2013; 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.