Meaningful Life Behavioral Health

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

MEANINGFUL LIFE BEHAVIORAL HEALTH

Practice address

4798 E Meadow Land Dr
San Tan Valley, AZ 85140-5210

Phone

(623) 200-6017

NPI assigned

Dec 27, 2019

Last updated

Dec 27, 2019By 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

Dickson Kwarteng

Title

Administrator

Phone

(623) 200-6017

Specialties & licenses 1

Addresses

Tax ID family

Meaningful Life Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Meaningful Life Behavioral Health

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1902360597
  NPD tax ID

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1306485107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4798 E MEADOW LAND DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851405210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4798 E MEADOW LAND DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851405210",
            "telephone_number": "623-200-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEANINGFUL LIFE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "KWARTENG",
        "authorized_official_first_name": "DICKSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-200-6017"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Kay McDaniel
• Crystal Lynn McElroy, MSN/FNP
• Emily McFadden
• Kristina A McKinzie, FNP
• Cassandra J. McLaughlin, PA-C
• Medi-Ride LLC
• Alexa A Medina, HIS
• Anithsia Mejia
• Noelle Mejia, LCSW
• Lourdes E Melendez-Oetinger, MD

• Mental Illness Community Based Residential Treatment Facility in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.