Carlos Pennix

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

1616 E Indian School Rd Ste 225
Phoenix, AZ 85016-8613

Phone

(773) 263-3010

NPI assigned

Aug 2, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bonding Hearts

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1295405900
  NPD Authorized official

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1295409472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E INDIAN SCHOOL RD STE 225",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168613",
            "telephone_number": "773-263-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E INDIAN SCHOOL RD STE 225",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168613",
            "telephone_number": "773-263-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNIX",
        "first_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-09-10",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Charles Pennebaker, D.C.
• Scott Elliott Penner
• Kyle Jamison Penniman, MSW, LISAC, CADAC
• Cristen E Pennington, LMFT
• Joseph Pennington, PHARMD
• Lashonia Shasherah Pennix
• Ruth Penno, FNP-C, CDE
• Penny Chiropractic, PLC
• Ryan Wells Penrod, PA-C
• Tim Penrod, LMFT

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.