Organization Active NPI

Lateef Behavioral Care

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1154766624
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
LATEEF BEHAVIORAL CARE
Practice address
1621 W Minton St
Phoenix, AZ 85041-6918
Phone
(602) 403-5050
NPI assigned
May 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Authorized official

Name
Ms. Maryam Lateef, MHNP
Title
Director
Phone
(602) 403-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1621 W Minton St
Phoenix, AZ 85041-6918

Mailing address

1621 W Minton St
Phoenix, AZ 85041-6918
Phone (602) 403-5050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1154766624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 W MINTON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416918",
            "telephone_number": "602-403-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 W MINTON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416918",
            "telephone_number": "602-403-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATEEF BEHAVIORAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "LATEEF",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-403-5050",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHNP"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "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 May 9, 2013; 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.