Anasazi Foundation

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

BH1130 Issued in AZ

Legal business name

ANASAZI FOUNDATION

Practice address

1424 S Stapley Dr
Mesa, AZ 85204-5877

Phone

(800) 678-3445

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Merchant

Title

Ceo President

Phone

(480) 892-7403

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1497833644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 S STAPLEY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045877",
            "telephone_number": "800-678-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 S STAPLEY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045877",
            "telephone_number": "800-678-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANASAZI FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "MERCHANT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "480-892-7403",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AZ",
            "license": "BH1130",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH1130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ams Living, LLC
• Kerry M Amstutz, DO
• An Elegant Smile P.C.
• An Oasis of Healing, PLC
• Amy T An, CNM, ARNP
• Anasazi Foundation
• Anasazi Integrated Health and Wellness
• Anasazi Medical Clinic PC
• John Curtis Anaya, C.C.P
• Sara Elizabeth Ancello, D.O.

• All providers in Mesa, AZ
• Psychiatric Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.