Organization Active NPI

Joy Recovery and Behavioral Health, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Glendale, AZ
National Provider Identifier
1619505054
Registry record updated Apr 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
JOY RECOVERY AND BEHAVIORAL HEALTH, LLC
Practice address
24212 N 42ND Dr
Glendale, AZ 85310-3232
Phone
(623) 628-7026
NPI assigned
Mar 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2020

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

Authorized official

Name
Jennifer Govan, MSPC, LASAC
Title
Clinical Director, BHP
Phone
(623) 628-7026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

24212 N 42ND Dr
Glendale, AZ 85310-3232

Mailing address

17738 W Dahlia Dr
Surprise, AZ 85388-5663
Phone (623) 628-7026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585958400000",
    "number": "1619505054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17738 W DAHLIA DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853885663",
            "telephone_number": "623-628-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24212 N 42ND DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853103232",
            "telephone_number": "623-628-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOY RECOVERY AND BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-04-04",
        "certification_date": "2020-04-04",
        "status": "A",
        "authorized_official_last_name": "GOVAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR, BHP",
        "authorized_official_telephone_number": "623-628-7026",
        "authorized_official_credential": "MSPC, LASAC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.