Arizona Behavioral Home Health

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

3376 Issued in AZ

Legal business name

ARIZONA BEHAVIORAL HOME HEALTH

Practice address

1349 E Colter St
Phoenix, AZ 85014-3048

Phone

(623) 915-0270

Fax

(623) 915-0280

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Carl A Bonnacci, PHD

Title

President

Phone

(623) 915-0270

Specialties & licenses 1

Addresses

Practitioners 1

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

• Carl Albert Bonacci, PH.D.

  • Psychologist
  • Phoenix, AZ
  • NPI 1659488583
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1376623769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 W GLENDALE AVE",
            "address_2": "SUITE E119",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518194",
            "telephone_number": "623-915-0270",
            "fax_number": "623-915-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 E COLTER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143048",
            "telephone_number": "623-915-0270",
            "fax_number": "623-915-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA BEHAVIORAL HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "BONNACCI",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-915-0270",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "AZ",
            "license": "3376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arizona Baptist Children'S Services
• Arizona Bariatric Surgeons LTD
• Arizona Behavioral Counseling and Education Inc
• Arizona Behavioral Health
• Arizona Behavioral Health Center
• Arizona Behavioral Home Health Services LLC
• Arizona Behavioral Resources, PLLC
• Arizona Behavioral Wellness
• Arizona Bleeding Disorders Health and Wellness Center
• Arizona Bluesky Counseling, LLC

• Cognitive & Behavioral Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Cognitive & Behavioral Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.