People of Color Network

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PEOPLE OF COLOR NETWORK

Practice address

1300 N Central Ave
Phoenix, AZ 85004-1722

Phone

(602) 251-0650

Fax

(602) 251-0632

NPI assigned

Apr 24, 2009

Organization subpart

No

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

Authorized official

Name

Manuel Tomas Leon

Title

Chief Executive Officer

Phone

(602) 253-3084

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1235373960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E THOMAS RD STE 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123100",
            "telephone_number": "602-253-3084",
            "fax_number": "602-253-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041722",
            "telephone_number": "602-251-0650",
            "fax_number": "602-251-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLE OF COLOR NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "TOMAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "602-253-3084"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444530",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tim Penrod, LMFT
• Stephanie Marie Penton, MD
• Timothy Penton
• People of Color Network
• People of Color Network
• People of Color Network
• People of Color Network
• People of Color Network
• Peoplefirst Homecare & Hospice of Utah, LLC
• Aubrey Noelle Peoples, CFY-SLP

• Adult Mental Health Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.