NPIMap

Organization Active NPI

New Vision Behavioral Health & Wellness, LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1366052870
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW VISION BEHAVIORAL HEALTH & WELLNESS, LLC
Practice address
3119 N 46TH Dr
Phoenix, AZ 85031-3705
Phone
(602) 367-5345
NPI assigned
Aug 10, 2020
Last updated
Jun 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Monique Mason
Title
Administrator
Phone
(623) 229-4755

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

3119 N 46TH Dr
Phoenix, AZ 85031-3705

Mailing address

4409 N 179TH Dr
Goodyear, AZ 85395-5201
Phone (623) 229-4755

National Provider Directory

National Provider Directory
Tax ID family
New Vision Behavioral Health Wellness LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1366052870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 N 179TH DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853955201",
            "telephone_number": "623-229-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 N 46TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850313705",
            "telephone_number": "602-367-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION BEHAVIORAL HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-229-4755"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 28, 2024; 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.