Atlas Behavioral Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ATLAS BEHAVIORAL HEALTH

Practice address

2118 N 77TH LN
Phoenix, AZ 85035-5118

Phone

(518) 522-3854

NPI assigned

Nov 21, 2024

Organization subpart

No

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

Authorized official

Name

Trevon Telford

Title

Administrator

Phone

(518) 522-3854

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1205651502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 N 77TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850355118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 N 77TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850355118",
            "telephone_number": "518-522-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "TELFORD",
        "authorized_official_first_name": "TREVON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "518-522-3854"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, 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 21, 2024; 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.