NPIMap

Organization Active NPI

Hope Behavioral Health Residential Care LLC

  • Adult Development & Aging Psychologist
  • Goodyear, AZ
National Provider Identifier
1063837243
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Development & Aging PsychologistTaxonomy code 103TA0700X
License
BH4441 Issued in AZ
Legal business name
HOPE BEHAVIORAL HEALTH RESIDENTIAL CARE LLC
Practice address
16870 W Woodlands Ave
Goodyear, AZ 85338-6054
Phone
(623) 925-8606
Fax
(623) 925-2076
NPI assigned
Feb 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Christopher OdetoyeNPI 1821413071
Title
Owner
Phone
(623) 925-8606

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
Adult Development & Aging PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0700X BH4441 AZ Primary

Addresses

Primary practice location

16870 W Woodlands Ave
Goodyear, AZ 85338-6054

Mailing address

16870 W Woodlands Ave
Goodyear, AZ 85338-6054
Phone (623) 925-8606

National Provider Directory

National Provider Directory
Tax ID family
Hope Behavioral Health Residential Care LLC3 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": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1063837243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16870 W WOODLANDS AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853386054",
            "telephone_number": "623-925-8606",
            "fax_number": "623-925-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16870 W WOODLANDS AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853386054",
            "telephone_number": "623-925-8606",
            "fax_number": "623-925-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE BEHAVIORAL HEALTH RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "ODETOYE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-925-8606"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "AZ",
            "license": "BH4441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.