Rehema Behavioral Health Clinic LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REHEMA BEHAVIORAL HEALTH CLINIC LLC

Practice address

4541 N 12TH St
Phoenix, AZ 85014-4203

Phone

(602) 481-3575

NPI assigned

Jul 8, 2020

Organization subpart

No

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

Authorized official

Name

Christine KemboiNPI 1487287108

Title

Owner

Phone

(623) 256-7755

Specialties & licenses 2

Addresses

Other names 1

• Holy Trinity Behavioral, LLC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine M Kemboi

  • Assisted Living Facility (Behavioral Disturbances)
  • Tolleson, AZ
  • NPI 1487287108
  NPD Authorized official
• Shalby Francis, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sacaton, AZ
  • NPI 1891366118
  NPD (past)

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1619595485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8435 W HUGHES DR",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853533902",
            "telephone_number": "623-256-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144203",
            "telephone_number": "602-481-3575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4645 N 12th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850144090",
            "country_code": "US",
            "telephone_number": "623-256-7755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REHEMA BEHAVIORAL HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "KEMBOI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-256-7755"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Trinity Behavioral, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holy Trinity Behavioral, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tracey J Reheis, RN
• Rehema Behavioral Health Center LLC
• Rehema Transport
• Ryan Michael Rehl, M.D.
• Amy Rehm, MC, LAC
• Michael R. Rehm, LPC
• Nathan Rehm

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.