NPIMap

Organization Active NPI

Excella Health Centre LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
National Provider Identifier
1205518552
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EXCELLA HEALTH CENTRE LLC
Practice address
4616 N 51St Ave Ste 212
Phoenix, AZ 85031-1721
Phone
(407) 533-0871
NPI assigned
Aug 7, 2023
Organization subpart
Yes
Parent organization
EXCELLA HEALTH CENTRE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Winnie N Kamariza
Title
Ceo
Phone
(407) 533-0871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4616 N 51St Ave Ste 212
Phoenix, AZ 85031-1721

Mailing address

4616 N 51St Ave Ste 212
Phoenix, AZ 85031-1721
Phone (407) 533-0871

National Provider Directory

National Provider Directory
Tax ID family
Excella Health Centre LLC3 organizations share this tax ID, including this one
Part of
Excella Health Centre LLC

Other organizations with this tax ID 2

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

Locations

4616 N 51st Ave
Ste 212
Phoenix, AZ 85031
Phone (407) 533-0871

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1205518552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 N 51ST AVE STE 212",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311721",
            "telephone_number": "407-533-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 N 51ST AVE STE 212",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311721",
            "telephone_number": "407-533-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLA HEALTH CENTRE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXCELLA HEALTH CENTRE LLC",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-05",
        "status": "A",
        "authorized_official_last_name": "KAMARIZA",
        "authorized_official_first_name": "WINNIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-533-0871"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Aug 7, 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.