NPIMap

Organization Active NPI

Atlas Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1649981226
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ATLAS BEHAVIORAL HEALTH LLC
Practice address
2118 N 77TH LN
Phoenix, AZ 85035-5118
Phone
(480) 388-6417
NPI assigned
Dec 5, 2022
Last updated
Dec 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Trevon D Telford
Title
Ceo
Phone
(518) 522-3854

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X NU
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU
Psychiatric Residential Treatment Facility 323P00000X NU
Non-emergency Medical Transport (VAN) 343900000X NU
Private Vehicle 347C00000X NU
In Home Supportive Care Agency 253Z00000X NU
Meals Provider 174200000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2118 N 77TH LN
Phoenix, AZ 85035-5118

Mailing address

2118 N 77TH LN
Phoenix, AZ 85035-5118

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1649981226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 N 77TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850355118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 N 77TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850355118",
            "telephone_number": "480-388-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "TELFORD",
        "authorized_official_first_name": "TREVON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-522-3854"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "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 5, 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.