Roxbury Commons Residential, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

ROXBURY COMMONS RESIDENTIAL, LLC

Practice address

3847 W Port Royale LN
Phoenix, AZ 85053-4546

Phone

(602) 235-0767

NPI assigned

Apr 18, 2016

Last updated

Apr 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kiyana Brutus, P.M.H.N.P, B.C.

Title

Owner

Phone

(602) 235-0767

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1528412442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1536",
            "city": "HIGLEY",
            "state": "AZ",
            "postal_code": "852361536",
            "telephone_number": "602-235-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3847 W PORT ROYALE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534546",
            "telephone_number": "602-235-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXBURY COMMONS RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "BRUTUS",
        "authorized_official_first_name": "KIYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-235-0767",
        "authorized_official_credential": "P.M.H.N.P, B.C."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Rowlett, MD
• Harold Rowley
• John M Rowley, MD
• Gabrielle Marie Rowlison, MD
• Hayedeh Rowshangah
• Roxii Care, LLC
• Alan Roy
• Anjali Roy, MD
• Jennifer Roy, CCC-SLP
• Kelly H Roy, MD

• Mental Illness Community Based Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.