NPIMap

Organization Active NPI

Friendship Community Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
National Provider Identifier
1104825702
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
OTC7814 Issued in AZ
Legal business name
FRIENDSHIP COMMUNITY MENTAL HEALTH CENTER, INC.
Practice address
1107 Tonto St
Phoenix, AZ 85034
Phone
(602) 241-6656
Fax
(602) 241-7506
NPI assigned
Jul 18, 2005
Organization subpart
Yes
Parent organization
CHICANOS POR LA CAUSA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Guillermo Velez, MSW, LCSW
Title
President
Phone
(623) 247-0464

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X BH2465 AZ
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X OTC7814 AZ Primary

Addresses

Primary practice location

1107 Tonto St
Phoenix, AZ 85034

Mailing address

1107 E Tonto St
Phoenix, AZ 85034-4032
Phone (602) 241-6656

Other names 1

  • People Of Color Network Inc (in error) Former legal business name

National Provider Directory

National Provider Directory
Part of
Chicanod Por la Causa

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

730 E Highland Ave
Phoenix, AZ 85014
Phone (602) 241-6656

1107 E Tonto St
Phoenix, AZ 85034
Phone (602) 241-6656

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1104825702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E TONTO ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850344032",
            "telephone_number": "602-241-6656",
            "fax_number": "602-241-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 TONTO ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85034",
            "telephone_number": "602-241-6656",
            "fax_number": "602-241-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP COMMUNITY MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHICANOS POR LA CAUSA, INC.",
        "enumeration_date": "2005-07-18",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-247-0464",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AZ",
            "license": "BH2465",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AZ",
            "license": "OTC7814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "People Of Color Network Inc (in error)",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 17, 2016; 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.