Active NPI
Family Life Behavioral Health LLC
- Community/Behavioral Health Agency
- Glendale, AZ
National Provider Identifier
1043068455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- FAMILY LIFE BEHAVIORAL HEALTH LLC
- Practice address
- 6610 N 47TH Ave Ste 4
Glendale, AZ 85301-4163 - Phone
- (623) 206-7541
- NPI assigned
- May 9, 2024
- 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
- Markus A Booker
- Title
- Billing
- Phone
- (623) 206-7541
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
6610 N 47TH Ave Ste 4
Glendale, AZ 85301-4163
Mailing address
6610 N 47TH Ave Ste 4
Glendale, AZ 85301-4163
Phone (623) 206-7541
Other practice location 1
6610 N 47th Ave Ste 4
Glendale, AZ 85301-4163
Phone (623) 206-7541
Other names 1
- Family Life Behavioral Health LLC
National Provider Directory
National Provider Directory- Tax ID family
- Family Life Behavioral Health LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Glendale, AZ
- NPI 1740989862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715212800000",
"number": "1043068455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6610 N 47TH AVE STE 4",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853014163",
"telephone_number": "623-206-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6610 N 47TH AVE STE 4",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853014163",
"telephone_number": "623-206-7541"
}
],
"practiceLocations": [
{
"address_1": "6610 N 47th Ave Ste 4",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853014163",
"country_code": "US",
"telephone_number": "623-206-7541",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FAMILY LIFE BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-09",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A",
"authorized_official_last_name": "BOOKER",
"authorized_official_first_name": "MARKUS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "623-206-7541"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Life Behavioral Health LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}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 May 9, 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.