Organization Active NPI

Addison Behavioral Services

  • Psychiatry Physician
  • Tempe, AZ
National Provider Identifier
1609563204
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ADDISON BEHAVIORAL SERVICES
Practice address
1717 S Dorsey LN Apt 3070
Tempe, AZ 85281-7007
Phone
(817) 734-6325
NPI assigned
Apr 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Authorized official

Name
Mr. Duncan Maina MwangiNPI 1043684897
Title
Pmhnp
Phone
(817) 734-6325

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1717 S Dorsey LN Apt 3070
Tempe, AZ 85281-7007

Mailing address

914 E Broadway Rd # 1113
Tempe, AZ 85282-1502
Phone (817) 734-6325

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.

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1609563204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 E BROADWAY RD # 1113",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821502",
            "telephone_number": "817-734-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S DORSEY LN APT 3070",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852817007",
            "telephone_number": "817-734-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDISON BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-23",
        "status": "A",
        "authorized_official_last_name": "MWANGI",
        "authorized_official_first_name": "DUNCAN",
        "authorized_official_middle_name": "MAINA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "817-734-6325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.