Organization Active NPI

Crown Behavioral Integrated Clinic

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1538958970
Registry record updated Sep 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CROWN BEHAVIORAL INTEGRATED CLINIC
Practice address
6619 N 19TH Ave Ste C1
Phoenix, AZ 85015-1631
Phone
(480) 214-5886
NPI assigned
May 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2025

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

Authorized official

Name
Maurice Mbarushimana
Title
Administrator
Phone
(602) 312-1334

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

6619 N 19TH Ave Ste C1
Phoenix, AZ 85015-1631

Mailing address

6619 N 19TH Ave Ste C1
Phoenix, AZ 85015-1631
Phone (480) 214-5886

National Provider Directory

National Provider Directory

Locations

6619 N 19th Ave
Ste C1
Phoenix, AZ 85015
Phone (480) 214-5886

NPI Registry JSON

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759017600000",
    "number": "1538958970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 N 19TH AVE STE C1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151631",
            "telephone_number": "480-214-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6619 N 19TH AVE STE C1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151631",
            "telephone_number": "480-214-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN BEHAVIORAL INTEGRATED CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-09-28",
        "certification_date": "2025-09-28",
        "status": "A",
        "authorized_official_last_name": "MBARUSHIMANA",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-312-1334"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 28, 2025; 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.