NPIMap

Organization Active NPI

Prats Residential Behavioral Health Agency III

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1629354493
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH3963 Issued in AZ
Legal business name
PRATS RESIDENTIAL BEHAVIORAL HEALTH AGENCY III
Practice address
3014 E Emile Zola Ave
Phoenix, AZ 85032-6049
Phone
(602) 348-2115
Fax
(602) 996-1577
NPI assigned
Oct 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Mrs. Giselia Prats, M.S.
Title
Director
Phone
(602) 348-2115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH3963 AZ Primary

Addresses

Primary practice location

3014 E Emile Zola Ave
Phoenix, AZ 85032-6049

Mailing address

3015 E Gelding Dr
Phoenix, AZ 85032-5032
Phone (602) 348-2115

Other names 1

  • Dine Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Dine Home4 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.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1629354493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 E GELDING DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325032",
            "telephone_number": "602-348-2115",
            "fax_number": "602-996-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 E EMILE ZOLA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850326049",
            "telephone_number": "602-348-2115",
            "fax_number": "602-996-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATS RESIDENTIAL BEHAVIORAL HEALTH AGENCY III",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "PRATS",
        "authorized_official_first_name": "GISELIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-348-2115",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH3963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dine Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 25, 2011; 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.