Royal Outpatient Clinic LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ROYAL OUTPATIENT CLINIC LLC

Practice address

5060 N 19TH Ave Ste 215
Phoenix, AZ 85015-3212

Phone

(623) 606-5661

NPI assigned

Oct 19, 2022

Organization subpart

No

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

Authorized official

Name

Isibhakhomen Esabu

Title

Administrator

Phone

(623) 606-5661

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1689390734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13323 W SOLANO DR",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853407360",
            "telephone_number": "623-606-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 N 19TH AVE STE 215",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153212",
            "telephone_number": "623-606-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL OUTPATIENT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "ESABU",
        "authorized_official_first_name": "ISIBHAKHOMEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-606-5661"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royal Behavioral Health LLC
• Royal Behavioral Health Services LLC
• Royal Care Integrated Health LLC
• Royal Group Home LLC
• Royal Medical Transportation Services LLC
• Royal Palm Physical Therapy Group
• Royal Treatment and Wellness Center LLC
• Jocelyn Roybal, LAC
• Juan Rick Roybal III, D.C.
• Lisa Roye, CCC-SLP

• Adult Mental Health Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.