Active NPI
Reward Health Clinic LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
National Provider Identifier
1609789015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- REWARD HEALTH CLINIC LLC
- Practice address
- 1717 W Northern Ave Ste 204
Phoenix, AZ 85021-5471 - Phone
- (860) 374-1635
- NPI assigned
- Sep 25, 2026
- 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
- Immaculate Kiggundu
- Title
- Director
- Phone
- (860) 374-1635
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1717 W Northern Ave Ste 204
Phoenix, AZ 85021-5471
Mailing address
1717 W Northern Ave Ste 204
Phoenix, AZ 85021-5471
Phone (860) 374-1635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790294400000",
"number": "1609789015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 W NORTHERN AVE STE 204",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850215471",
"telephone_number": "860-374-1635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 W NORTHERN AVE STE 204",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850215471",
"telephone_number": "860-374-1635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REWARD HEALTH CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A",
"authorized_official_last_name": "KIGGUNDU",
"authorized_official_first_name": "IMMACULATE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "860-374-1635"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"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 Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.