Organization Active NPI

Faith in Yourself Behavioral LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1629738901
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
FAITH IN YOURSELF BEHAVIORAL LLC
Practice address
2736 E Wier Ave
Phoenix, AZ 85040-2748
Phone
(602) 698-1758
Fax
(602) 671-6666
NPI assigned
Dec 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Mr. Ian Dy, NURSE PRACTITIONER
Title
Statutory Officer
Phone
(480) 280-8690

Specialties & licenses 1

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

Addresses

Primary practice location

2736 E Wier Ave
Phoenix, AZ 85040-2748

Mailing address

2736 E Wier Ave
Phoenix, AZ 85040-2748
Phone (602) 698-1758

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1629738901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2736 E WIER AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850402748",
            "telephone_number": "602-698-1758",
            "fax_number": "602-671-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2736 E WIER AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850402748",
            "telephone_number": "602-698-1758",
            "fax_number": "602-671-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH IN YOURSELF BEHAVIORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "DY",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "STATUTORY OFFICER",
        "authorized_official_telephone_number": "480-280-8690",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "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 Dec 28, 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.