Miracle Consulting

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MIRACLE CONSULTING

Practice address

5225 N 19TH Ave
Suite B
Phoenix, AZ 85015-2903

Phone

(480) 593-7203

NPI assigned

Jan 6, 2014

Organization subpart

Yes

Parent organization

MIRACLE CONSULTINGAs reported in NPPES

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

Authorized official

Name

Mr. Jermaine Jordan, OWNER

Title

Ceo

Phone

(480) 593-7203

Specialties & licenses 1

Addresses

Other names 1

• Behavioral Group Innovations(BGI) Doing business as

Part of

Miracle Consulting

Locations

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1689096984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 E DIXON CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852056453",
            "telephone_number": "480-593-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 N 19TH AVE",
            "address_2": "SUITE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152903",
            "telephone_number": "480-593-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE CONSULTING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIRACLE CONSULTING",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-593-7203",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Group Innovations(BGI)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rose Marie Mintz, PA-C
• Brandon M Minzer, MD
• Faryal Faisal Mir, DO
• Jennifer Thomas Mirabelli, DMD, MSD
• Robert Mark Mirabelli, DMD
• Miracle on 29TH Street
• Miracle Wellness Center LLC
• Mirage Hospice Care Inc
• Mirage Medical LLC
• Mirage Podiatry Foot and Ankle Specialists

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.