NPIMap

Organization Active NPI

Family Institute for Health and Recovery

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1023465481
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY INSTITUTE FOR HEALTH AND RECOVERY
Practice address
5306 N 17TH Ave
Phoenix, AZ 85015-3035
Phone
(602) 327-8375
NPI assigned
May 16, 2016
Last updated
May 17, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
DESTINY SOBER LIVINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Mrs. Kathleen Bynum, LPCNPI 1942531355
Title
Executive Director
Phone
(602) 327-8375

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5306 N 17TH Ave
Phoenix, AZ 85015-3035

Mailing address

1550 E University Dr
Suite G
Mesa, AZ 85203-8136
Phone (602) 327-8375

National Provider Directory

National Provider Directory
Tax ID family
Destiny Outpatient Services6 organizations share this tax ID, including this one
Part of
Destiny Outpatient Services

Other organizations with this tax ID 5

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

Locations

1550 E University Dr
Ste G
Mesa, AZ 85203
Phone (602) 369-3497

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1023465481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E UNIVERSITY DR",
            "address_2": "SUITE G",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038136",
            "telephone_number": "602-327-8375",
            "fax_number": "602-926-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 N 17TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153035",
            "telephone_number": "602-327-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY INSTITUTE FOR HEALTH AND RECOVERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESTINY SOBER LIVING",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-327-8375",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 17, 2016; 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.