Nuphase Health Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NUPHASE HEALTH SERVICES, LLC

Doing business as

NuPhase Health Services-Community BH

Practice address

4225 W Glendale Ave Ste A102
Phoenix, AZ 85051-8195

Phone

(717) 747-6522

NPI assigned

Mar 17, 2022

Organization subpart

No

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

Authorized official

Name

Dana Floyd

Title

Chief Organizing Officer

Phone

(202) 999-8094

Specialties & licenses 2

Addresses

Other names 1

• NuPhase Health Services-Community BH Doing business as

Tax ID family

Nuphase Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Nuphase Health Services, LLC

  dba NuPhase Health Services

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1427701937
  NPD tax ID

Locations

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1184372286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14613 E DESERT VISTA TRL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852627826",
            "telephone_number": "717-747-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 W GLENDALE AVE STE A102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518195",
            "telephone_number": "717-747-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUPHASE HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CHIEF ORGANIZING OFFICER",
        "authorized_official_telephone_number": "202-999-8094"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NuPhase Health Services-Community BH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regina Louise Nunley-Smith, PHARM D
• Randall Nunley, D.D.S.
• Deotis J Nunn, MBA
• Tiffany A Nunnelley, DO
• Jacquline Nunner, PHARMD
• Nuphase Health Services, LLC (NuPhase Health Services)
• Nuriel Mercy Care LLC
• Nurse at Home LLC
• Nurse Practitioners R US
• Nursecore Management Services LLC (Nursecore of Phoenix)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.