NPIMap

Organization Active NPI

New Vision Behavioral Health & Wellness LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1164829669
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH4493 Issued in AZ
Legal business name
NEW VISION BEHAVIORAL HEALTH & WELLNESS LLC
Practice address
4732 N 86TH Dr
Phoenix, AZ 85037-1230
Phone
(623) 444-8479
NPI assigned
Nov 26, 2014
Last updated
Feb 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Authorized official

Name
James R Burrell, PHDNPI 1164996484
Title
Executive Director
Phone
(602) 367-5345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH4493 AZ Primary

Addresses

Primary practice location

4732 N 86TH Dr
Phoenix, AZ 85037-1230

Mailing address

7804 W Marlette Ave
Glendale, AZ 85303-4215

National Provider Directory

National Provider Directory
Tax ID family
New Vision Behavioral Health Wellness LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1164829669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7804 W MARLETTE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853034215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4732 N 86TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850371230",
            "telephone_number": "623-444-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION BEHAVIORAL HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-367-5345",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH4493",
            "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 Feb 14, 2020; 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.