Ak-Chin Health & Human Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AK-CHIN HEALTH & HUMAN SERVICES

Practice address

48227 W Farrell Rd
Maricopa, AZ 85139-3806

Phone

(520) 568-1090

Fax

(520) 568-1096

NPI assigned

Oct 31, 2016

Last updated

Oct 31, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

AK-CHIN INDIAN COMMUNITYAs reported in NPPES

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

Authorized official

Name

Mr. Brian Holiday, LMSW

Title

Director

Phone

(520) 568-1090

Specialties & licenses 3

Addresses

Tax ID family

Pima Agency2 organizations share this tax ID, including this one

Part of

Pima Agency

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ak-Chin Indian Community

  • Case Manager/Care Coordinator
  • Maricopa, AZ
  • NPI 1861124505
  NPD tax ID

Locations

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.

• Lynnette Reshawn Houston-Volden

  • Marriage & Family Therapist
  • Mesa, AZ
  • NPI 1235678830
  NPD (past)

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1609328194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48227 W FARRELL RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851393806",
            "telephone_number": "520-568-1090",
            "fax_number": "520-568-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48227 W FARRELL RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851393806",
            "telephone_number": "520-568-1090",
            "fax_number": "520-568-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AK-CHIN HEALTH & HUMAN SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AK-CHIN INDIAN COMMUNITY",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "HOLIDAY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-568-1090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agave Family Physicians PLLC
• Ifeoma Ogochukwu Agbaim-Sampson, RN
• Amanda Lee Aguilar
• Frances Aguilar
• Arvin Ahmadieh, DDS
• Ak-Chin Indian Community
• Akdhc, LLC
• Lisa Marie Akers, PT MS
• Cherry Akins
• Tamla Alexander

• Mental Health Clinic/Center (Including Community Mental Health Center) in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.