NPIMap

Organization Active NPI

Safe Haven Behavioral Health

  • Assisted Living Facility (Behavioral Disturbances)
  • Phoenix, AZ
National Provider Identifier
1023553401
Registry record updated Oct 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
SAFE HAVEN BEHAVIORAL HEALTH
Practice address
2128 W Burgess LN
Phoenix, AZ 85041-5306
Phone
(602) 687-0557
NPI assigned
Dec 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2024

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

Authorized official

Name
Yinka Seriki, M.EDNPI 1174066872
Title
Administrator
Phone
(602) 687-0557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

2128 W Burgess LN
Phoenix, AZ 85041-5306

Mailing address

2235 W Paradise LN
Phoenix, AZ 85023-7299
Phone (602) 687-0557

National Provider Directory

National Provider Directory
Tax ID family
Safe Haven Behavioral Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728086400000",
    "number": "1023553401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 W PARADISE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850237299",
            "telephone_number": "602-687-0557",
            "fax_number": "602-566-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 W BURGESS LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850415306",
            "telephone_number": "602-687-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2024-10-05",
        "certification_date": "2024-10-05",
        "status": "A",
        "authorized_official_last_name": "SERIKI",
        "authorized_official_first_name": "YINKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-687-0557",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "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 Oct 5, 2024; 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.