NPIMap

Organization Active NPI

Advance Mental Health Solution Services

  • Infusion Therapy Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1154073666
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
ADVANCE MENTAL HEALTH SOLUTION SERVICES
Practice address
3124 W Kimberly Way
Phoenix, AZ 85027-4821
Phone
(702) 863-7853
NPI assigned
Jan 25, 2022
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Shataura Anderson
Title
Owner
Phone
(702) 863-7853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X NU Primary

Addresses

Primary practice location

3124 W Kimberly Way
Phoenix, AZ 85027-4821

Mailing address

3124 W Kimberly Way
Phoenix, AZ 85027-4821
Phone (702) 863-7853

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1154073666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 W KIMBERLY WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274821",
            "telephone_number": "702-863-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 W KIMBERLY WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274821",
            "telephone_number": "702-863-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE MENTAL HEALTH SOLUTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SHATAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-863-7853"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 25, 2022; 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.