Organization Active NPI

Together BHRF

  • Addiction (Substance Use Disorder) Psychologist
  • Avondale, AZ
National Provider Identifier
1104667294
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
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

Updated by the provider on Jun 4, 2024

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.