Organization Active NPI

Amani Integrated Treatment Center LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1043920390
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AMANI INTEGRATED TREATMENT CENTER LLC
Practice address
1717 W Northern Ave Ste 202a
Phoenix, AZ 85021-5471
Phone
(951) 591-8544
NPI assigned
Nov 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Margaret Wambui Waithaka
Title
Ceo
Phone
(951) 591-8544

Specialties & licenses 1

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

Addresses

Primary practice location

1717 W Northern Ave Ste 202a
Phoenix, AZ 85021-5471

Mailing address

1717 W Northern Ave Ste 202a
Phoenix, AZ 85021-5471
Phone (951) 591-8544

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address m.waithaka@amanibehavioral.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1043920390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W NORTHERN AVE STE 202A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215471",
            "telephone_number": "951-591-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W NORTHERN AVE STE 202A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215471",
            "telephone_number": "951-591-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANI INTEGRATED TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "WAITHAKA",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "WAMBUI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-591-8544"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "m.waithaka@amanibehavioral.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1717 W Northern Ave Ste 202A",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850215471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 6, 2022; 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.