NPIMap

Individual provider Active NPI

Clarisse Kamgaing

  • Mental Illness Community Based Residential Treatment Facility
  • Gilbert, AZ
National Provider Identifier
1043675838
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH-4784 Issued in AZ
Practice address
2442 E Eleana LN
Gilbert, AZ 85298-2314
Phone
(480) 247-9993
Fax
(480) 719-8105
NPI assigned
Dec 21, 2015
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X NU
Mental Illness Community Based Residential Treatment Facility 320800000X BH-4784 AZ Primary

Addresses

Primary practice location

2442 E Eleana LN
Gilbert, AZ 85298-2314

Mailing address

2184 E Firestone Dr
Chandler, AZ 85249-4634
Phone (602) 400-7764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BH-4784AZMDRehabilitation Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Better Horizons LLC Community Based Residential Treatment Facility, Mental Illness Past Accepting new patients

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1043675838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2184 E FIRESTONE DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852494634",
            "telephone_number": "602-400-7764",
            "fax_number": "480-719-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 E ELEANA LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852982314",
            "telephone_number": "480-247-9993",
            "fax_number": "480-719-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMGAING",
        "first_name": "CLARISSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH-4784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; 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.