Active NPI
Dream Land Mental Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Goodyear, AZ
National Provider Identifier
1073209318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- DREAM LAND MENTAL HEALTH
- Practice address
- 1300 S Litchfield Rd
Goodyear, AZ 85338-1513 - Phone
- (602) 529-0706
- NPI assigned
- Apr 11, 2023
- 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
- Hamza Paulson
- Title
- Owner
- Phone
- (602) 592-0706
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
1300 S Litchfield Rd
Goodyear, AZ 85338-1513
Mailing address
16365 W Baden Ave
Goodyear, AZ 85338-6269
Phone (602) 529-0706
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681171200000",
"number": "1073209318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16365 W BADEN AVE",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853386269",
"telephone_number": "602-529-0706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 S LITCHFIELD RD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853381513",
"telephone_number": "602-529-0706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREAM LAND MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-11",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A",
"authorized_official_last_name": "PAULSON",
"authorized_official_first_name": "HAMZA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-592-0706"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"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 Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.