De Blessed Behavioral Care

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DE BLESSED BEHAVIORAL CARE

Practice address

17563 W Maricopa St
Goodyear, AZ 85338-4702

Phone

(480) 465-6259

NPI assigned

Nov 16, 2021

Last updated

Nov 16, 2021By 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

Olamide AdeniyiNPI 1518634120

Title

Owner

Phone

(480) 465-6259

Specialties & licenses 1

Addresses

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.

• Olamide Adeniyi

  • Behavior Technician
  • Goodyear, AZ
  • NPI 1518634120
  NPD Authorized official

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1205592987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17563 W MARICOPA ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384702",
            "telephone_number": "480-465-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17563 W MARICOPA ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384702",
            "telephone_number": "480-465-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE BLESSED BEHAVIORAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "ADENIYI",
        "authorized_official_first_name": "OLAMIDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-465-6259"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Marie Dawson, RN BSN
• Michael Hyde Day, DMD
• Ammer Mountasir Dbeis, DO
• DC Dental, LLC (Tiny Teeth Dental Care - Goodyear)
• Dcoa Physician Associates PA
• Celine De Jesus, OTD, OTR/L
• Ruth Patricia De la Rosa-Acosta, BESTDOULACERTIFICATE
• Marvin Leandicho De Leon, LPN
• Deals Az LLC
• Dean Whiting DDS MSD PLLC (Goodyear Endodontics)

• Community/Behavioral Health Agency in Goodyear, AZ
• Providers in Goodyear, 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 Nov 16, 2021; 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.