NPIMap

Organization Active NPI

Dignity Behavioral Health Residential

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1689330581
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
DIGNITY BEHAVIORAL HEALTH RESIDENTIAL
Practice address
10817 W Cassia Way
Phoenix, AZ 85037
Phone
(480) 466-3852
NPI assigned
Nov 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Pelagie Maombi
Title
Ceo
Phone
(480) 466-3852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

10817 W Cassia Way
Phoenix, AZ 85037

Mailing address

10817 W Cassia Way
Phoenix, AZ 85037

Other names 1

  • Dignity Behavioral Health Residential Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dignity Behavioral Health Residential2 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": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1689330581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10817 W CASSIA WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10817 W CASSIA WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85037",
            "telephone_number": "480-466-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY BEHAVIORAL HEALTH RESIDENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "MAOMBI",
        "authorized_official_first_name": "PELAGIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-466-3852"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dignity Behavioral Health Residential",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 15, 2021; 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.