NPIMap

Organization Active NPI

Jezzob Behavioral Health, LLC

  • Psychiatric Residential Treatment Facility
  • Tolleson, AZ
National Provider Identifier
1497526263
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
JEZZOB BEHAVIORAL HEALTH, LLC
Practice address
4110 S 97TH Ave
Tolleson, AZ 85353-5709
Phone
(602) 521-2351
Fax
(480) 718-8860
NPI assigned
Jan 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Zebedee Yong
Title
Ceo/Facility Administrator
Phone
(602) 521-2351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

4110 S 97TH Ave
Tolleson, AZ 85353-5709

Mailing address

4918 W Apollo Rd
Laveen, AZ 85339-6289
Phone (602) 521-2351

National Provider Directory

National Provider Directory
Tax ID family
Jezzob Behavioral Health LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1497526263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4918 W APOLLO RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853396289",
            "telephone_number": "602-521-2351",
            "fax_number": "480-718-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 S 97TH AVE",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853535709",
            "telephone_number": "602-521-2351",
            "fax_number": "480-718-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEZZOB BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "YONG",
        "authorized_official_first_name": "ZEBEDEE",
        "authorized_official_title_or_position": "CEO/FACILITY ADMINISTRATOR",
        "authorized_official_telephone_number": "602-521-2351"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tolleson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.