Elite Youth & Family Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ELITE YOUTH & FAMILY SERVICES, LLC

Practice address

600 W Ray Rd Ste D3
Chandler, AZ 85225-7266

Phone

(480) 628-5339

NPI assigned

Jun 5, 2018

Organization subpart

No

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

Authorized official

Name

Antoinette Malinda Wells, BANPI 1437641420

Title

Owner, Program Director

Phone

(480) 628-5339

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antoinette Malinda Wells, BA

  • Behavior Technician
  • Chandler, AZ
  • NPI 1437641420
  NPD (past) Authorized official

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1346732377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 E AUGUSTA AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852494875",
            "telephone_number": "480-963-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W RAY RD STE D3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257266",
            "telephone_number": "480-628-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE YOUTH & FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_middle_name": "MALINDA",
        "authorized_official_title_or_position": "OWNER, PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "480-628-5339",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amin Elrayah Elhag
• Jessica Elias
• Claire Eliason, DO
• Elite Health & Wellness Center
• Elite Therapy Services LLC
• Elitecare,LLC
• Brooklyn Feustel Elkan, CNM
• Hassan Babiker Elkindi
• Sarah Elkins
• Mohamed Elkotb, M.D.

• Community/Behavioral Health Agency in Chandler, AZ
• Providers in Chandler, 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 Jun 5, 2018; 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.