Positive Movement II,LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

BH5327 Issued in AZ

Legal business name

POSITIVE MOVEMENT II,LLC

Practice address

655 Sunrise Blvd
Prescott, AZ 86301-5874

Phone

(928) 237-4502

Fax

(734) 423-1427

NPI assigned

Feb 5, 2018

Organization subpart

No

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

Authorized official

Name

Jonathan Homer Harmon, ADMINISTRATOR

Title

Administrator

Phone

(313) 516-5554

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1669971693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SUNRISE BLVD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863015874",
            "telephone_number": "928-237-4502",
            "fax_number": "734-423-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SUNRISE BLVD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863015874",
            "telephone_number": "928-237-4502",
            "fax_number": "734-423-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE MOVEMENT II,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "HOMER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-516-5554",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH5327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pool Therapy Plus, PLLC
• Carmencita Popa, LMT
• David Pope, LASAC
• Stephanie Porcaro, LMT
• Sarah Elizabeth Posegate, OT
• Positive Options, Inc.
• Krystyna Anna Posvenski, PT
• Robert Potter, LASAC
• Elijah Michael Poulos, MD
• Jacqueline Rochelle Poulos, N.M.D

• Mental Illness Community Based Residential Treatment Facility in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.