John Arthur Anderson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2432 W. Peoria Avenue
Building 5, Suite 1114
Phoenix, AZ 85029

Phone

(602) 661-7488

Fax

(602) 661-7499

NPI assigned

Jul 12, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Mercy Center of Arizona

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1275275463

  Peer Specialist

  NPD
• Mercy Center of Arizona

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1801689948
  NPD

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1457085771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 W. PEORIA AVENUE",
            "address_2": "BUILDING 5, SUITE 1114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85029",
            "telephone_number": "602-661-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 W. PEORIA AVENUE",
            "address_2": "BUILDING 5, SUITE 1114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85029",
            "telephone_number": "602-661-7488",
            "fax_number": "602-661-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOHN",
        "middle_name": "ARTHUR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MOTOR VEHICLE DIVISION",
            "identifier": "Y99000179",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Anderson, MD
• Jessica Leigh Anderson, M.D.
• Jessie R Anderson, DO
• Jetta Anderson, CPM
• Jody Marie Anderson
• Joshua Allan Anderson
• Joy K Anderson
• Kara Anderson
• Katherine Elizabeth Marie Anderson, RBT
• Katherine Rose Anderson

• Behavior Technician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.