Organization Active NPI

Elite Selection LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tempe, AZ
National Provider Identifier
1659112761
Registry record updated Jun 3, 2024
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
ELITE SELECTION LLC
Practice address
2239 W Baseline Rd # D100
Tempe, AZ 85283-1039
Phone
(760) 605-1799
NPI assigned
Jun 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Tyreuna Beckwith
Title
Ceo
Phone
(760) 605-1799

Specialties & licenses 1

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

Addresses

Primary practice location

2239 W Baseline Rd # D100
Tempe, AZ 85283-1039

Mailing address

PO Box 51003
Scottsdale, AZ 85261

National Provider Directory

National Provider Directory
Tax ID family
Elite Selection LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1659112761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51003",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 W BASELINE RD # D100",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831039",
            "telephone_number": "760-605-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SELECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "BECKWITH",
        "authorized_official_first_name": "TYREUNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-605-1799"
    },
    "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 Jun 3, 2024; 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.