Mfa Professionals, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MFA PROFESSIONALS, LLC

Practice address

5059 E Hannibal St
Mesa, AZ 85205-6880

Phone

(480) 543-0003

NPI assigned

Aug 8, 2021

Last updated

Aug 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deanna Jentzen

Title

Owner

Phone

(844) 632-7767

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1628380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1619641156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W OSBORN RD # 1022",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5059 E HANNIBAL ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852056880",
            "telephone_number": "480-543-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MFA PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-08",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "JENTZEN",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-632-7767"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dj@mfapros.com",
            "affiliation": "N",
            "address_1": "5059 E Hannibal St",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852056880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Providers in Mesa, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.