Community Network Fellowship, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

COMMUNITY NETWORK FELLOWSHIP, INC.

Practice address

5845 E 15TH St Ste B
Tucson, AZ 85711-4507

Phone

(520) 216-4111

NPI assigned

Mar 25, 2016

Organization subpart

No

Name

Prof. Felisha Andrews, MS, BHT, RBT, BHP

Title

Ceo

Phone

(520) 216-4111

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326400623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5845 E 15TH ST STE B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857114507",
            "telephone_number": "520-216-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5845 E 15TH ST STE B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857114507",
            "telephone_number": "520-216-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY NETWORK FELLOWSHIP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2022-07-21",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "FELISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-216-4111",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "MS, BHT, RBT, BHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.