Active NPI
Complete Joy Behavioral Health LLC
- Psychiatric Residential Treatment Facility
- Kingman, AZ
National Provider Identifier
1255059705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.