Active NPI
Preferred Behavioral Services LLC
- Adult Mental Health Clinic/Center
- Glendale, AZ
National Provider Identifier
1548835549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- PREFERRED BEHAVIORAL SERVICES LLC
- Doing business as
- PBS
- Practice address
- 8751 N 51St Ave Ste 126
Glendale, AZ 85302-4928 - Phone
- (602) 430-9646
- NPI assigned
- May 21, 2021
- 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
- Dr. Lameck John Nyakweba, PHARMD
- Title
- Ceo
- Phone
- (602) 430-9646
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
8751 N 51St Ave Ste 126
Glendale, AZ 85302-4928
Mailing address
11418 W Rosewood Dr
Avondale, AZ 85392-3421
Phone (602) 430-9646
Other names 1
- PBS
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Avondale | Other |
National Provider Directory
National Provider DirectoryLocations
8751 N 51st Ave
Ste 126
Glendale, AZ 85302
Phone (602) 430-9646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621555200000",
"number": "1548835549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11418 W ROSEWOOD DR",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853923421",
"telephone_number": "602-430-9646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8751 N 51ST AVE STE 126",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853024928",
"telephone_number": "602-430-9646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREFERRED BEHAVIORAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-21",
"last_updated": "2021-05-21",
"certification_date": "2021-05-20",
"status": "A",
"authorized_official_last_name": "NYAKWEBA",
"authorized_official_first_name": "LAMECK",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-430-9646",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Avondale",
"affiliation": "N",
"endpointDescription": "@preferredbehavioralservices.com",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Avondale",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Avondale",
"address_1": "11418 W Rosewood Dr",
"city": "Avondale",
"state": "AZ",
"country_code": "US",
"postal_code": "853923421",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "PBS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.