Active NPI
Together BHRF
- Addiction (Substance Use Disorder) Psychologist
- Avondale, AZ
National Provider Identifier
1104667294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- Legal business name
- TOGETHER BHRF
- Practice address
- 10423 W Edgemont Dr
Avondale, AZ 85392-4652 - Phone
- (480) 358-7850
- NPI assigned
- Jun 4, 2024
- 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
- Mojok Ajawin
- Title
- Owner
- Phone
- (480) 358-7850
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X |
Addresses
Primary practice location
10423 W Edgemont Dr
Avondale, AZ 85392-4652
Mailing address
10423 W Edgemont Dr
Avondale, AZ 85392-4652
Phone (480) 358-7850
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717459200000",
"number": "1104667294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10423 W EDGEMONT DR",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853924652",
"telephone_number": "480-358-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10423 W EDGEMONT DR",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853924652",
"telephone_number": "480-358-7850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOGETHER BHRF",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-04",
"last_updated": "2024-06-04",
"certification_date": "2024-06-03",
"status": "A",
"authorized_official_last_name": "AJAWIN",
"authorized_official_first_name": "MOJOK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-358-7850"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.