Organization Active NPI

Arizona Behavioral Health

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1235318130
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 0394 Issued in AZ
Legal business name
ARIZONA BEHAVIORAL HEALTH
Practice address
7330 N. 16TH St.
Suite a-120
Phoenix, AZ 85020
Phone
(602) 997-6635
Fax
(602) 997-6642
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Mr. Owen Golden Jr., LCSWNPI 1184696304
Title
Partner
Phone
(602) 997-6635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X LCSW 0394 AZ Primary

Addresses

Primary practice location

7330 N. 16TH St.
Suite a-120
Phoenix, AZ 85020

Mailing address

7330 N. 16TH St.
Suite a-120
Phoenix, AZ 85020
Phone (602) 997-6635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714001562 AZ Part B Supplier - Clinic/Group Practice 6305825274 Receives reassigned benefits from 3 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

10000 N 31st Ave
Ste C101
Phoenix, AZ 85051
Phone (602) 997-6622

10000 N 31st Ave
Ste D201
Phoenix, AZ 85051
Phone (602) 843-0035

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1235318130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 N. 16TH ST.",
            "address_2": "SUITE A-120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85020",
            "telephone_number": "602-997-6635",
            "fax_number": "602-997-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 N. 16TH ST.",
            "address_2": "SUITE A-120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85020",
            "telephone_number": "602-997-6635",
            "fax_number": "602-997-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "OWEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "602-997-6635",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW 0394",
            "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 Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.