Adonai Outpatient Treatment Center LLC.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ADONAI OUTPATIENT TREATMENT CENTER LLC.

Practice address

14045 N 7TH St Ste 2
Phoenix, AZ 85022-4387

Phone

(602) 826-3684

NPI assigned

Dec 23, 2022

Last updated

Dec 23, 2022By 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

Valentine Mukahirwa Busogi, PMHNP-BCNPI 1093347981

Title

Ceo

Phone

(602) 826-3684

Specialties & licenses 1

Addresses

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.

• Valentine Mukahirwa Busogi

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1093347981
  NPD Authorized official

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671753600000",
    "number": "1629780432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14045 N 7TH ST STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224387",
            "telephone_number": "602-826-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14045 N 7TH ST STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224387",
            "telephone_number": "602-826-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADONAI OUTPATIENT TREATMENT CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "BUSOGI",
        "authorized_official_first_name": "VALENTINE",
        "authorized_official_middle_name": "MUKAHIRWA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-826-3684",
        "authorized_official_credential": "PMHNP-BC"
    },
    "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": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.