Organization Active NPI

Monte Vista Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
National Provider Identifier
1609549922
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MONTE VISTA BEHAVIORAL HEALTH
Practice address
6206 W Monte Vista Rd
Phoenix, AZ 85035-3533
Phone
(028) 886-7796
Fax
(312) 610-5767
NPI assigned
Aug 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Anicet Ndagijimana
Title
Ceo
Phone
(520) 445-5832

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

6206 W Monte Vista Rd
Phoenix, AZ 85035-3533

Mailing address

10720 W Indian School Rd Ste 19
Phoenix, AZ 85037-5799
Phone (520) 445-5832

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1609549922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10720 W INDIAN SCHOOL RD STE 19",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375799",
            "telephone_number": "520-445-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6206 W MONTE VISTA RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850353533",
            "telephone_number": "028-886-7796",
            "fax_number": "312-610-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTE VISTA BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "NDAGIJIMANA",
        "authorized_official_first_name": "ANICET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-445-5832"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Aug 2, 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.