TK Behavioral Health Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

TK BEHAVIORAL HEALTH SERVICES LLC

Doing business as

TK Behavioral Health Services

Practice address

5540 W Glendale Ave Ste A103
Glendale, AZ 85301-2579

Phone

(714) 863-9560

NPI assigned

Apr 3, 2023

Last updated

Apr 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ernest Ashu Takang, NPNPI 1467738963

Title

Director

Phone

(714) 863-9560

Specialties & licenses 1

Addresses

Other names 1

• TK Behavioral Health Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ernest Takang, REGISTERED NURSE

  • Psychiatric/Mental Health Nurse Practitioner
  • Rancho Cucamonga, CA
  • NPI 1467738963
  NPD Authorized official

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1144925710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 W GLENDALE AVE STE A103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 W GLENDALE AVE STE A103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012579",
            "telephone_number": "714-863-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TK BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "TAKANG",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "ASHU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-863-9560",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TK Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.