Organization Active NPI

Complete Joy Behavioral Health LLC

  • Psychiatric Residential Treatment Facility
  • Kingman, AZ
National Provider Identifier
1255059705
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
COMPLETE JOY BEHAVIORAL HEALTH LLC
Practice address
3448 N Yavapai St
Kingman, AZ 86401-3710
Phone
(623) 200-6017
NPI assigned
Aug 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Dickson Attah
Title
Coo
Phone
(623) 200-6017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

3448 N Yavapai St
Kingman, AZ 86401-3710

Mailing address

1711 N Stockton Hill Rd
Kingman, AZ 86401-4673

National Provider Directory

National Provider Directory

Locations

1711 N Stockton Hill Rd
Kingman, AZ 86401
Phone (725) 204-2960

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1255059705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 N YAVAPAI ST",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864013710",
            "telephone_number": "623-200-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE JOY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "ATTAH",
        "authorized_official_first_name": "DICKSON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "623-200-6017"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.