Organization Active NPI

Friendship Community Mental Health Center

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1447508403
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FRIENDSHIP COMMUNITY MENTAL HEALTH CENTER
Practice address
730 E Highland Ave
Phoenix, AZ 85014-3625
Phone
(602) 241-6656
NPI assigned
Aug 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Mr. Frank Jesus, LISAC
Title
Administrator/Clinical Director
Phone
(602) 241-6656

Specialties & licenses 1

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

Addresses

Primary practice location

730 E Highland Ave
Phoenix, AZ 85014-3625

Mailing address

730 E Highland Ave
Phoenix, AZ 85014-3625
Phone (602) 241-6656

Other identifiers 1

IdentifierTypeStateIssuer
LISAC 10387OtherAZBEHAVIORAL HEALTH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1447508403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 E HIGHLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143625",
            "telephone_number": "602-241-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E HIGHLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143625",
            "telephone_number": "602-241-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP COMMUNITY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "JESUS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "ADMINISTRATOR/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "602-241-6656",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH",
            "identifier": "LISAC 10387",
            "state": "AZ"
        }
    ],
    "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 Aug 23, 2012; 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.