Ozaree Place 1

Primary specialty

CounselorTaxonomy code 101Y00000X

License

BH3418 Issued in AZ

Legal business name

OZAREE PLACE 1

Practice address

7409 S 26TH LN
Phoenix, AZ 85041-6477

Phone

(602) 237-5584

Fax

(602) 323-5021

NPI assigned

Oct 7, 2009

Organization subpart

Yes

Parent organization

FLO ENTERPRISESAs reported in NPPES

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

Authorized official

Name

Mr. Frederick Orlander Jacobs

Title

Owner/Program Director

Phone

(602) 469-0802

Specialties & licenses 2

Addresses

Part of

Ozaree Place 1

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1194050278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 S 26TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416477",
            "telephone_number": "602-237-5584",
            "fax_number": "602-323-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7409 S 26TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416477",
            "telephone_number": "602-237-5584",
            "fax_number": "602-323-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZAREE PLACE 1",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLO ENTERPRISES",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "ORLANDER",
        "authorized_official_title_or_position": "OWNER/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "602-469-0802",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "AZ",
            "license": "BH3418",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "BH3418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Moiseme Oyakhire, AUD
• Martha A Oyler, PMHNP
• Dafna Oz, LMSW
• Shamini Oza, PHARMD
• Kathryn Greer Ozan, DO
• Emily Ozello, PHARMD
• Steven Ozer, MD
• Megan Marie Ozga, DMD
• Walter Chima Ozongwu, RPH
• Nubia Ozuna

• Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.