BPS Advanced Wellness, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4195 Issued in AZ

Legal business name

BPS ADVANCED WELLNESS, PLLC

Practice address

14441 W McDowell Rd
Suite B-102
Goodyear, AZ 85395-2519

Phone

(602) 292-2881

NPI assigned

Feb 25, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Neal J Kennington, PH.D.

Title

Clinical Psychologist

Phone

(602) 292-2881

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1366834533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14441 W MCDOWELL RD",
            "address_2": "SUITE B-102",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952519",
            "telephone_number": "602-292-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14441 W MCDOWELL RD",
            "address_2": "SUITE B-102",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952519",
            "telephone_number": "602-292-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BPS ADVANCED WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "KENNINGTON",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "602-292-2881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Bowman, PHARMD
• Ty Alexander Bowman, MD
• David Michael Boyd, M.D.
• Nataliya Bozhko
• Bianca Bozzano
• Nakia Brady
• Elizabeth Malia Braig, PHARM.D.
• Christopher Branham, D.O.
• Ravyn Braverman-Hampton
• Breakthru, LLC

• Clinical Psychologist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.