NPIMap

Organization Active NPI

Liv Well Behavioral

  • Community/Behavioral Health Agency
  • Chandler, AZ
National Provider Identifier
1104494822
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIV WELL BEHAVIORAL
Practice address
900 E Pecos Rd Ste 8
Chandler, AZ 85225-2400
Phone
(602) 856-6535
Fax
(480) 618-4133
NPI assigned
Jun 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Mr. Daniel Gonzalez
Title
Chief Executive Office
Phone
(480) 522-4268

Specialties & licenses 1

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

Addresses

Primary practice location

900 E Pecos Rd Ste 8
Chandler, AZ 85225-2400

Mailing address

900 E Pecos Rd Ste 8
Chandler, AZ 85225-2400
Phone (602) 856-6535

Other practice location 1

449 N 100th Pl
Mesa, AZ 85207-7201
Phone (602) 856-6535

Other identifiers 2

IdentifierTypeStateIssuer
097644MedicaidAZ
BH6921OtherAZADHS

National Provider Directory

National Provider Directory
Tax ID family
Liv Well Behavioral4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

900 E Pecos Rd
Ste 8
Chandler, AZ 85225
Phone (602) 856-6535

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1104494822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E PECOS RD STE 8",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252400",
            "telephone_number": "602-856-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E PECOS RD STE 8",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252400",
            "telephone_number": "602-856-6535",
            "fax_number": "480-618-4133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "449 N 100th Pl",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852077201",
            "country_code": "US",
            "telephone_number": "602-856-6535",
            "fax_number": "480-618-4133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIV WELL BEHAVIORAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICE",
        "authorized_official_telephone_number": "480-522-4268",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097644",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADHS",
            "identifier": "BH6921",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.