Organization Active NPI

Open Hand LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tempe, AZ
National Provider Identifier
1629729116
Registry record updated Jan 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
OPEN HAND LLC
Practice address
4801 S Lakeshore Dr Ste 108
Tempe, AZ 85282-7156
Phone
(775) 813-9703
NPI assigned
Jan 16, 2022
Last updated
Jan 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2022

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

Authorized official

Name
Bladimik Jara
Title
Owner
Phone
(775) 813-9703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4801 S Lakeshore Dr Ste 108
Tempe, AZ 85282-7156

Mailing address

4801 S Lakeshore Dr Ste 108
Tempe, AZ 85282-7156

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1642291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642291200000",
    "number": "1629729116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S LAKESHORE DR STE 108",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S LAKESHORE DR STE 108",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827156",
            "telephone_number": "775-813-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN HAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-16",
        "last_updated": "2022-01-16",
        "certification_date": "2022-01-16",
        "status": "A",
        "authorized_official_last_name": "JARA",
        "authorized_official_first_name": "BLADIMIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-813-9703"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2022; 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.