Organization Active NPI

Michael Forbes Warden PHD PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glendale, AZ
National Provider Identifier
1669953287
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1021 Issued in AZ
Legal business name
MICHAEL FORBES WARDEN PHD PLLC
Practice address
7155 W Campo Bello Dr Ste C120
Glendale, AZ 85308-8594
Phone
(623) 322-7301
NPI assigned
Aug 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Michael Forbes Warden, PHDNPI 1477534634
Title
President
Phone
(602) 525-2109

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1021 AZ Primary

Addresses

Primary practice location

7155 W Campo Bello Dr Ste C120
Glendale, AZ 85308-8594

Mailing address

1233 N Mesa Dr Apt 1117
Mesa, AZ 85201-2758
Phone (602) 525-2109

Other names 1

  • Michael Forbes Warden PHD PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1669953287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 N MESA DR APT 1117",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852012758",
            "telephone_number": "602-525-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7155 W CAMPO BELLO DR STE C120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088594",
            "telephone_number": "623-322-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL FORBES WARDEN PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "WARDEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FORBES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-525-2109",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AZ",
            "license": "1021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Forbes Warden PHD PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.