Peoples Mental Health LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PEOPLES MENTAL HEALTH LLC

Practice address

9429 W Oregon Ave
Glendale, AZ 85305-3352

Phone

(301) 785-8946

NPI assigned

Aug 16, 2022

Organization subpart

No

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

Authorized official

Name

Ibukun Fagbuyi

Title

Owner

Phone

(725) 502-1061

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1063130086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9429 W OREGON AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9429 W OREGON AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053352",
            "telephone_number": "301-785-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLES MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "FAGBUYI",
        "authorized_official_first_name": "IBUKUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "725-502-1061"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.