Active NPI
Crown Behavioral Integrated Clinic
- Community/Behavioral Health Agency
- Phoenix, AZ
National Provider Identifier
1538958970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.