NPIMap

Organization Active NPI

Applied Behavioral Interventions, PLLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1619321908
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH4777 Issued in AZ
Legal business name
APPLIED BEHAVIORAL INTERVENTIONS, PLLC
Practice address
10000 N 31St Ave Ste A107
Phoenix, AZ 85051-9582
Phone
(602) 441-2388
Fax
(800) 881-7511
NPI assigned
Apr 22, 2016
Last updated
Jul 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Victor OkorieNPI 1861788184
Title
Chief Executive Officer
Phone
(602) 441-2388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X LISAC-15037 AZ
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC-13418 AZ
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 4010 AZ
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LCSW-10962 AZ
Community/Behavioral Health Agency 251S00000X BH4777 AZ Primary
Community/Behavioral Health Agency 251S00000X CSLG7643 AZ

Addresses

Primary practice location

10000 N 31St Ave Ste A107
Phoenix, AZ 85051-9582

Mailing address

PO Box 72657
Phoenix, AZ 85050-1028
Phone (602) 524-0824

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Encryption Other

National Provider Directory

National Provider Directory
Tax ID family
Applied Behavioral Interventions PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1619321908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72657",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850501028",
            "telephone_number": "602-524-0824",
            "fax_number": "800-881-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 N 31ST AVE STE A107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519582",
            "telephone_number": "602-441-2388",
            "fax_number": "800-881-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED BEHAVIORAL INTERVENTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "OKORIE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "602-441-2388"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-15037",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-13418",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "4010",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-10962",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH4777",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "CSLG7643",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Encryption",
            "affiliation": "N",
            "endpointDescription": "Encryption",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "storage",
            "address_1": "10000 N 31st Ave Ste A107",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850519582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 20, 2020; 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.