NPIMap

Organization Active NPI

New Dynamics Behavioral Health LLC

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
National Provider Identifier
1093523987
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
NEW DYNAMICS BEHAVIORAL HEALTH LLC
Practice address
1203 S Central Ave
Phoenix, AZ 85323
Phone
(480) 619-9463
NPI assigned
Dec 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Mr. Miguel Fernando Pena, N/A
Title
Administrator
Phone
(480) 619-9463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1203 S Central Ave
Phoenix, AZ 85323

Mailing address

PO Box 1447
Phoenix, AZ 85001-1447
Phone (480) 619-9463

Other names 2

  • N/A Doing business as
  • New Dynamics Behavioral Health LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1093523987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1447",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850011447",
            "telephone_number": "480-619-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 S CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85323",
            "telephone_number": "480-619-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DYNAMICS BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "FERNANDO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-619-9463",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Dynamics Behavioral Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 23, 2024; 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.