Organization Active NPI

Alifred Behavioral Health Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
National Provider Identifier
1487542486
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ALIFRED BEHAVIORAL HEALTH CLINIC LLC
Practice address
1717 W Northern Ave Ste 211
Phoenix, AZ 85021-5469
Phone
(860) 374-1634
NPI assigned
Jun 26, 2025
Last updated
Jun 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Frederick Kiggundu
Title
Director
Phone
(860) 374-1634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1717 W Northern Ave Ste 211
Phoenix, AZ 85021-5469

Mailing address

1717 W Northern Ave Ste 210-211
Phoenix, AZ 85021-5469

National Provider Directory

National Provider Directory
Tax ID family
Alifred Behavioral Health Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1487542486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W NORTHERN AVE STE 210-211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W NORTHERN AVE STE 211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215469",
            "telephone_number": "860-374-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIFRED BEHAVIORAL HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "KIGGUNDU",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "860-374-1634"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 26, 2025; 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.