GBS LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GBS LLC

Practice address

4140 E Baseline Rd Ste 101
Mesa, AZ 85206-4413

Phone

(702) 812-0749

NPI assigned

May 1, 2023

Last updated

May 1, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

GBSLLCAs reported in NPPES

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

Authorized official

Name

Jazzamin Clark, BASIC SKILLS BST

Title

Cfo

Phone

(702) 812-0749

Specialties & licenses 2

Addresses

Part of

GBS LLC

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1467140160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 E BASELINE RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064413",
            "telephone_number": "702-812-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 E BASELINE RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064413",
            "telephone_number": "702-812-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GBS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GBSLLC",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-29",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JAZZAMIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "702-812-0749",
        "authorized_official_credential": "BASIC SKILLS BST"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.