People of Color Network

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PEOPLE OF COLOR NETWORK

Practice address

310 S Extension Rd
Mesa, AZ 85210-1292

Phone

(480) 615-3800

Fax

(480) 615-3861

NPI assigned

Apr 24, 2009

Organization subpart

No

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

Authorized official

Name

Manuel Tomas Leon

Title

Ceo

Phone

(602) 253-3084

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1518101237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E THOMAS RD STE 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123100",
            "telephone_number": "602-253-3084",
            "fax_number": "602-253-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S EXTENSION RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852101292",
            "telephone_number": "480-615-3800",
            "fax_number": "480-615-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLE OF COLOR NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "TOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-253-3084"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432084",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett Michael Penrod, CPT
• Brianne Penrose, RN
• Jennifer Penrose, PHARM.D., BCPS
• Pentz Health Services LLC (Nevy Health)
• Debra M Pentz, DC
• Daylan Peoples, B.S., SLPA
• Kai Peppard, DC
• Pepsquad PLLC
• Marisa Lyn Perales
• Joanna F Perea

• Adult Mental Health Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.