Organization Active NPI

Patricia Davis

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1336376532
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH3143 Issued in AZ
Legal business name
PATRICIA DAVIS
Practice address
4550 E Bell Rd
Phoenix, AZ 85032-9306
Phone
(602) 633-6000
Fax
(602) 633-6225
NPI assigned
Jun 15, 2009
Organization subpart
Yes
Parent organization
COMPASS MENTAL HEALTH LLC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Authorized official

Name
Mr. Mark Lazare
Title
Clinical Director
Phone
(602) 633-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH3143 AZ Primary

Addresses

Primary practice location

4550 E Bell Rd
Phoenix, AZ 85032-9306

Mailing address

4550 E Bell Rd
Phoenix, AZ 85032-9306
Phone (602) 633-6000

National Provider Directory

National Provider Directory
Part of
Compass Mental Health LLC

Locations

4550 E Bell Rd
Phoenix, AZ 85032
Phone (602) 633-6000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1336376532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329306",
            "telephone_number": "602-633-6000",
            "fax_number": "602-633-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329306",
            "telephone_number": "602-633-6000",
            "fax_number": "602-633-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA DAVIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPASS MENTAL HEALTH LLC.",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "LAZARE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "602-633-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH3143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.