NPIMap

Organization Active NPI

New Vision Behavioral Health & Wellness LLC

  • Clinical Medical Laboratory
  • Phoenix, AZ
National Provider Identifier
1619747342
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NEW VISION BEHAVIORAL HEALTH & WELLNESS LLC
Practice address
3119 N 46TH Dr
Phoenix, AZ 85031-3705
Phone
(480) 287-1932
NPI assigned
Jan 4, 2024
Last updated
Jan 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Carolyn Collier, NPNPI 1538872387
Title
Nurse Practioner
Phone
(610) 772-3325

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3119 N 46TH Dr
Phoenix, AZ 85031-3705

Mailing address

4409 N 179TH Dr
Goodyear, AZ 85395-5201
Phone (480) 287-1932

National Provider Directory

National Provider Directory
Tax ID family
New Vision Behavioral Health Wellness LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1619747342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 N 179TH DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853955201",
            "telephone_number": "480-287-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 N 46TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850313705",
            "telephone_number": "480-287-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION BEHAVIORAL HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "NURSE PRACTIONER",
        "authorized_official_telephone_number": "610-772-3325",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "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 Jan 4, 2024; 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.