NPIMap

Organization Active NPI

Az Lavender Behavioral Health Services LLC

  • Psychiatric Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1578209920
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
AZ LAVENDER BEHAVIORAL HEALTH SERVICES LLC
Practice address
3428 N 47TH Ave
Phoenix, AZ 85031-3101
Phone
(602) 581-1588
Fax
(623) 302-7174
NPI assigned
May 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Authorized official

Name
Miss Zuhal FadlNPI 1841989415
Title
Administrator
Phone
(602) 581-1588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

3428 N 47TH Ave
Phoenix, AZ 85031-3101

Mailing address

3428 N 47TH Ave
Phoenix, AZ 85031-3101
Phone (602) 581-1588

Other identifiers 1

IdentifierTypeStateIssuer
BH7476OtherAZDHS

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://azlbhs.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

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": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1578209920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 N 47TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850313101",
            "telephone_number": "602-581-1588",
            "fax_number": "623-302-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3428 N 47TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850313101",
            "telephone_number": "602-581-1588",
            "fax_number": "623-302-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ LAVENDER BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "FADL",
        "authorized_official_first_name": "ZUHAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-581-1588",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS",
            "identifier": "BH7476",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://azlbhs.com",
            "affiliation": "N",
            "endpointDescription": "Domain",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "JSON",
            "address_1": "3428 N 47th Ave",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850313101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 9, 2022; 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.