NPIMap

Organization Active NPI

Maricopa Behavioral Health Services, LLC

  • Community/Behavioral Health Agency
  • Maricopa, AZ
National Provider Identifier
1538511886
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LISAC 11886 Issued in AZ
Legal business name
MARICOPA BEHAVIORAL HEALTH SERVICES, LLC
Practice address
19395 N John Wayne Pkwy
16
Maricopa, AZ 85139-2833
Phone
(993) 480-9020
NPI assigned
Jul 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Authorized official

Name
Frederick Thomas Westby, LISAC
Title
Owner
Phone
(480) 993-9020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LISAC 11886 AZ Primary

Addresses

Primary practice location

19395 N John Wayne Pkwy
16
Maricopa, AZ 85139-2833

Mailing address

PO Box 1617
Maricopa, AZ 85139-1399
Phone (480) 993-9020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1538511886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1617",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851391399",
            "telephone_number": "480-993-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19395 N JOHN WAYNE PKWY",
            "address_2": "16",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851392833",
            "telephone_number": "993-480-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICOPA BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "WESTBY",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-993-9020",
        "authorized_official_credential": "LISAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LISAC 11886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

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