Organization Active NPI

GB Family Care LLC

Doing business as Trinity Medical Behavioral Health

  • Integrative Medicine Physician
  • Mesa, AZ
National Provider Identifier
1548959836
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
Legal business name
GB FAMILY CARE LLC
Doing business as
Trinity Medical Behavioral Health
Practice address
1101 W Guadalupe Rd Ste 1
Mesa, AZ 85210-7601
Phone
(480) 788-5621
Fax
(480) 779-1277
NPI assigned
May 3, 2023
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Kiup Alexander KimNPI 1225242985
Title
Authorized Official
Phone
(480) 323-6072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU
Integrative Medicine Physician 202D00000X NU Primary

Addresses

Primary practice location

1101 W Guadalupe Rd Ste 1
Mesa, AZ 85210-7601

Mailing address

202 E Earll Dr Ste 360
Phoenix, AZ 85012-2677
Phone (480) 788-5621

Other practice location 1

7000 E Main St Ste 1
Mesa, AZ 85207-8212
Phone (480) 788-5621

Other names 1

  • Trinity Medical Behavioral Health Doing business as

National Provider Directory

National Provider Directory

Locations

1101 W Guadalupe Rd
Ste 1
Mesa, AZ 85210

7000 E Main St
Ste 1
Mesa, AZ 85207

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1548959836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E EARLL DR STE 360",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122677",
            "telephone_number": "480-788-5621",
            "fax_number": "480-779-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W GUADALUPE RD STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852107601",
            "telephone_number": "480-788-5621",
            "fax_number": "480-779-1277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 E Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852078212",
            "country_code": "US",
            "telephone_number": "480-788-5621",
            "fax_number": "480-779-1277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GB FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-09-06",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KIUP",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-323-6072"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Medical Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Medical Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.