Active NPI
Matthew Aarsvold
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
National Provider Identifier
1407515992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Practice address
- 1010 W Euclid Ave
Phoenix, AZ 85041-8345 - Phone
- (714) 272-8600
- NPI assigned
- Dec 11, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1316793722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Care #0001 LLC | Current | Accepting new patients |
Locations
668 N Coast Hwy
Laguna Beach, CA 92651
Phone (949) 204-4912
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1010 W Euclid Ave
Phoenix, AZ 85041-8345
Mailing address
668 N Coast Hwy Ste 516
Laguna Beach, CA 92651-1513
Phone (714) 272-8600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 11, 2021.
{
"created_epoch": "1639180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639180800000",
"number": "1407515992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "668 N COAST HWY STE 516",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926511513",
"telephone_number": "714-272-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 W EUCLID AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850418345",
"telephone_number": "714-272-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AARSVOLD",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-11",
"last_updated": "2021-12-11",
"certification_date": "2021-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"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 Dec 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.