Active NPI
Canyon Health Centers LLC
- Community/Behavioral Health Agency
- Phoenix, AZ
National Provider Identifier
1598526618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CANYON HEALTH CENTERS LLC
- Practice address
- 333 W Thomas Rd Ste 100
Phoenix, AZ 85013-4424 - Phone
- (480) 903-6463
- NPI assigned
- Jan 16, 2024
- 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
- David Winzelberg
- Title
- Administrator
- Phone
- (917) 753-3850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
333 W Thomas Rd Ste 100
Phoenix, AZ 85013-4424
Mailing address
7000 N 16TH St Ste 120-168
Phoenix, AZ 85020-5512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTC13176 | Other | AZ | STATE |
National Provider Directory
National Provider DirectoryLocations
7000 N 16th St
Ste 120168
Phoenix, AZ 85020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705449600000",
"number": "1598526618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 N 16TH ST STE 120-168",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850205512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W THOMAS RD STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134424",
"telephone_number": "480-903-6463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANYON HEALTH CENTERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-16",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A",
"authorized_official_last_name": "WINZELBERG",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "917-753-3850"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "OTC13176",
"state": "AZ"
}
],
"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 Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.