Anudek Behavioral Healthcare LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

ANUDEK BEHAVIORAL HEALTHCARE LLC

Practice address

2111 E Phelps Road
Phoenix, AZ 85022

Phone

(480) 330-2767

Fax

(480) 483-0142

NPI assigned

Jul 5, 2024

Last updated

Jul 24, 2024By 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

Uko Benjamin Udofia, MBANPI 1841043718

Title

Owner

Phone

(480) 330-2767

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Uko Benjamin Udofia

  • Addiction (Substance Use Disorder) Counselor
  • Phoenix, AZ
  • NPI 1841043718
  NPD Authorized official

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1538905997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 E EVERETT DRIVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85022",
            "telephone_number": "480-330-2767",
            "fax_number": "480-483-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 E PHELPS ROAD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85022",
            "telephone_number": "480-330-2767",
            "fax_number": "480-483-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANUDEK BEHAVIORAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "UDOFIA",
        "authorized_official_first_name": "UKO",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-330-2767",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDAUL",
            "identifier": "1841043718",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarke B Antonio, PT
• Lorraine C Antonioli Vance, CRNFA
• Paul Antseliovich, MD
• Brittani Pascal Antunes, MC, LPC, NCC
• Dorcas Antwi
• Cheryl L Anulare, LPC
• Israa Anwar
• John Anwar, MD
• Anytime Medical Transport
• Maria Anzures, FNP-C

• 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 Jul 24, 2024; 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.