Active NPI
New Dawn Outpatient LLC
Doing business as New Dawn Behavioral Health
- Community/Behavioral Health Agency
- Maricopa, AZ
National Provider Identifier
1215616875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- NEW DAWN OUTPATIENT LLC
- Doing business as
- New Dawn Behavioral Health
- Practice address
- 18860 N Maricopa Rd
Maricopa, AZ 85139-1817 - Phone
- (224) 595-0112
- NPI assigned
- Jul 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ernest Kwesi Amponsah
- Title
- Administrator
- Phone
- (224) 595-0112
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Health Service Clinic/Center | 261QH0100X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
18860 N Maricopa Rd
Maricopa, AZ 85139-1817
Mailing address
18860 N Maricopa Rd
Maricopa, AZ 85139-1817
Phone (224) 595-0112
Other names 1
- New Dawn Behavioral Health
National Provider Directory
National Provider DirectoryLocations
18860 N Maricopa Rd
Maricopa, AZ 85139
Phone (224) 595-0112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689120000000",
"number": "1215616875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18860 N MARICOPA RD",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851391817",
"telephone_number": "224-595-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18860 N MARICOPA RD",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851391817",
"telephone_number": "224-595-0112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW DAWN OUTPATIENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-12",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A",
"authorized_official_last_name": "AMPONSAH",
"authorized_official_first_name": "ERNEST",
"authorized_official_middle_name": "KWESI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "224-595-0112"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "New Dawn Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.