Organization Active NPI

Anasazi Integrated Health and Wellness

  • Community/Behavioral Health Agency
  • Mesa, AZ
National Provider Identifier
1437690187
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSLG8091 Issued in AZ
Legal business name
ANASAZI INTEGRATED HEALTH AND WELLNESS
Practice address
1855 E Southern Ave
Ste 205
Mesa, AZ 85204-5241
Phone
(480) 228-1400
Fax
(480) 400-1750
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Ms. T Allen, LPC
Title
Clinical Director
Phone
(480) 228-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CSLG8091 AZ Primary

Addresses

Primary practice location

1855 E Southern Ave
Ste 205
Mesa, AZ 85204-5241

Mailing address

745 N Gilbert Rd
124-313
Gilbert, AZ 85234-3375
Phone (480) 228-1400

National Provider Directory

National Provider Directory

Locations

1855 E Southern Ave
Ste 205
Mesa, AZ 85204
Phone (480) 228-1400

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1437690187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 N GILBERT RD",
            "address_2": "124-313",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852343375",
            "telephone_number": "480-228-1400",
            "fax_number": "480-400-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 E SOUTHERN AVE",
            "address_2": "STE 205",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045241",
            "telephone_number": "480-228-1400",
            "fax_number": "480-400-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANASAZI INTEGRATED HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "T",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "480-228-1400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "CSLG8091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.