NPIMap

Organization Active NPI

Ebony House Inc

Doing business as Ebony House Behavioral Health Outpatient Treatment Center

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1518029453
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EBONY HOUSE INC
Doing business as
Ebony House Behavioral Health Outpatient Treatment Center
Practice address
1616 E Indian School Rd Ste 100
Phoenix, AZ 85016-8602
Phone
(602) 249-7495
Fax
(602) 900-1774
NPI assigned
Dec 15, 2006
Last updated
Sep 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Sheena Jones
Title
Ceo
Phone
(602) 276-4288

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X BH-3207 AZ
Clinical Social Worker 1041C0700X NU Primary
Psychiatry Physician 2084P0800X NU

Addresses

Primary practice location

1616 E Indian School Rd Ste 100
Phoenix, AZ 85016-8602

Mailing address

6222 S 13TH St
Phoenix, AZ 85042-4408
Phone (602) 276-4288

Other identifiers 1

IdentifierTypeStateIssuer
425319MedicaidAZ

Other names 2

  • Ebony House Behavioral Health Outpatient Treatment Center Doing business as
  • Childrens Behavioral Health Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Ebony House Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1616 E Indian School Rd
Ste 100
Phoenix, AZ 85016
Phone (602) 254-6137

6222 S 13th St
Phoenix, AZ 85042
Phone (602) 276-4288

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1518029453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 S 13TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850424408",
            "telephone_number": "602-276-4288",
            "fax_number": "602-232-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E INDIAN SCHOOL RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168602",
            "telephone_number": "602-249-7495",
            "fax_number": "602-900-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBONY HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-276-4288"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AZ",
            "license": "BH-3207",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425319",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ebony House Behavioral Health Outpatient Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Childrens Behavioral Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 1, 2026; 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.