Active NPI
Rising Phoenix Neighborhood
- Community/Behavioral Health Agency
- Phoenix, AZ
National Provider Identifier
1366060477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- RISING PHOENIX NEIGHBORHOOD
- Practice address
- 202 E Earll Dr Unit 360-35
Phoenix, AZ 85012-2634 - Phone
- (480) 447-5588
- NPI assigned
- Jul 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melanie Reed
- Title
- Statutory Agent
- Phone
- (480) 447-5588
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
202 E Earll Dr Unit 360-35
Phoenix, AZ 85012-2634
Mailing address
202 E Earll Dr Unit 360-35
Phoenix, AZ 85012-2634
National Provider Directory
National Provider DirectoryLocations
202 E Earll Dr
Unit 36035
Phoenix, AZ 85012
Phone (480) 447-5588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593993600000",
"number": "1366060477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 E EARLL DR UNIT 360-35",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 E EARLL DR UNIT 360-35",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122634",
"telephone_number": "480-447-5588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISING PHOENIX NEIGHBORHOOD",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-06",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A",
"authorized_official_last_name": "REED",
"authorized_official_first_name": "MELANIE",
"authorized_official_title_or_position": "STATUTORY AGENT",
"authorized_official_telephone_number": "480-447-5588"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"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 Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.