K&E Behavioral Health

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

K&E BEHAVIORAL HEALTH

Practice address

4338 W Thomas Rd Ste U1
Phoenix, AZ 85031-3878

Phone

(908) 477-3144

NPI assigned

Mar 22, 2022

Organization subpart

No

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

Authorized official

Name

Eli Foryang Mbeufonjoh, CRNPNPI 1407460983

Title

Pmhnp

Phone

(908) 477-3144

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

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

• Eli Foryang Mbeufonjoh, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1407460983

  Single Specialty

  Medicare reassignment NPD Authorized official
• Kinner Echeche Atekwane

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
  • NPI 1093420374
  NPD

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1487303053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4338 W THOMAS RD STE U1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850313878",
            "telephone_number": "908-477-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4338 W THOMAS RD STE U1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850313878",
            "telephone_number": "908-477-3144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 E Southern Ave Ste F4",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852827626",
            "country_code": "US",
            "telephone_number": "602-922-3176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "K&E BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "MBEUFONJOH",
        "authorized_official_first_name": "ELI",
        "authorized_official_middle_name": "FORYANG",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "908-477-3144",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jodie Mokihana Kaalekahi, APRN
• Jersey Kaanaana

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.