Organization Active NPI

New Haven Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1538870910
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW HAVEN BEHAVIORAL HEALTH LLC
Practice address
2406 S 24TH St Ste 100
Phoenix, AZ 85034-6863
Phone
(602) 690-2240
NPI assigned
Dec 7, 2022
Last updated
Dec 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Roderick Coffman
Title
Member
Phone
(602) 690-2240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2406 S 24TH St Ste 100
Phoenix, AZ 85034-6863

Mailing address

2406 S 24TH St Ste 100
Phoenix, AZ 85034-6863

National Provider Directory

National Provider Directory

Locations

2406 S 24th St
Ste 100
Phoenix, AZ 85034
Phone (602) 690-2240

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1538870910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 S 24TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850346863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 S 24TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850346863",
            "telephone_number": "602-690-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-690-2240"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 7, 2022; 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.