Active NPI
Altru Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
National Provider Identifier
1124794466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- ALTRU HEALTH SERVICES
- Practice address
- 2525 W Beryl Ave Ste 302
Phoenix, AZ 85021-1606 - Phone
- (702) 703-9666
- NPI assigned
- Aug 17, 2021
- Last updated
- Aug 17, 2021
- 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
- Ashley Phelps
- Title
- Owner
- Phone
- (702) 703-9666
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary | |
| Adult Mental Health Clinic/Center | 261QM0850X | NU |
Addresses
Primary practice location
2525 W Beryl Ave Ste 302
Phoenix, AZ 85021-1606
Mailing address
2525 W Beryl Ave Ste 302
Phoenix, AZ 85021-1606
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | TherapyNotes | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
2525 W Beryl Ave
Ste 302
Phoenix, AZ 85021
Phone (702) 703-9666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629158400000",
"number": "1124794466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 W BERYL AVE STE 302",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850211606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 W BERYL AVE STE 302",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850211606",
"telephone_number": "702-703-9666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTRU HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-17",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A",
"authorized_official_last_name": "PHELPS",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-703-9666"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "TherapyNotes",
"affiliation": "N",
"endpointDescription": "TherapyNotes",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Arizona AHCCCS",
"address_1": "2525 W Beryl Ave Ste 302",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850211606",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.