Judify Health Services

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

JUDIFY HEALTH SERVICES

Practice address

3880 W Ranier CT
Anthem, AZ 85086-8018

Phone

(602) 465-6011

NPI assigned

Nov 17, 2020

Last updated

Nov 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Iheanyi Amanwanne, PSYCH NPNPI 1639883028

Title

Ceo

Phone

(623) 206-8074

Specialties & licenses 5

Addresses

Practitioners 1

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.

• Iheanyi Nnamdi Amanwanne, NP PSYCH

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1639883028
  NPD Authorized official

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1285237859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 W RANIER CT",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850868018",
            "telephone_number": "623-206-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 W RANIER CT",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850868018",
            "telephone_number": "602-465-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29675 N North Valley Pkwy Unit 1077",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850850783",
            "country_code": "US",
            "telephone_number": "623-206-8074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUDIFY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "AMANWANNE",
        "authorized_official_first_name": "IHEANYI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-206-8074",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSYCH NP"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.