Active NPI
Harbor Health
- Substance Abuse Rehabilitation Facility
- Phoenix, AZ
National Provider Identifier
1639799356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- HARBOR HEALTH
- Practice address
- 3213 S 66TH Ave
Phoenix, AZ 85043-1922 - Phone
- (888) 900-8082
- NPI assigned
- Apr 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Johnwick Nathan
- Title
- President
- Phone
- (623) 213-5356
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
3213 S 66TH Ave
Phoenix, AZ 85043-1922
Mailing address
1717 W Northern Ave Ste 200
Phoenix, AZ 85021-5478
Phone (623) 213-5356
Other names 1
- Harbor Health
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587513600000",
"number": "1639799356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 W NORTHERN AVE STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850215478",
"telephone_number": "623-213-5356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3213 S 66TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850431922",
"telephone_number": "888-900-8082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARBOR HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-22",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A",
"authorized_official_last_name": "NATHAN",
"authorized_official_first_name": "JOHNWICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "623-213-5356"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Harbor Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.