Center of Peace Health Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CENTER OF PEACE HEALTH SERVICES LLC

Practice address

4480 W Peoria Ave
Glendale, AZ 85302-2038

Phone

(702) 743-4108

NPI assigned

Dec 28, 2022

Last updated

May 23, 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

Clarissa Brooke DeweseNPI 1699463570

Title

Manager/Owner

Phone

(602) 400-0231

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Clarissa Brooke Dewese

  • Behavior Technician
  • Glendale, AZ
  • NPI 1699463570
  NPD Authorized official
• Charles Fredrick Porter

  • Behavior Technician
  • Glendale, AZ
  • NPI 1699467175
  NPD

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1174236749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 W PEORIA AVE STE 2014480",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022038",
            "telephone_number": "602-400-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 W PEORIA AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022038",
            "telephone_number": "702-743-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF PEACE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "DEWESE",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "602-400-0231"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Anahi Ceniceros Cerda, LMSW
• Center at Arrowhead, LLC (The Center at Arrowhead)
• Center for Behavioral Medicine, PLC
• Center for Couples Therapy, PLLC
• Center for Neurodevelopmental Studies
• Center Street
• Centerwell Senior Primary Care Az PC (CenterWell Senior Primary Care-Glendale)
• Clarisa Isabel Cepeda
• Yulissa Adriana Cepeda
• Louis M Cerato, D.O.

• Community/Behavioral Health Agency in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.