Organization Active NPI

Preferred Behavioral Services LLC

  • Adult Mental Health Clinic/Center
  • Glendale, AZ
National Provider Identifier
1548835549
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on May 21, 2021

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Avondale Other

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.