NPIMap

Organization Active NPI

New Vision Behavioral Health & Wellness, LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1710510052
Registry record updated Nov 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW VISION BEHAVIORAL HEALTH & WELLNESS, LLC
Practice address
2451 E Pueblo Ave
Phoenix, AZ 85040-1531
Phone
(623) 229-4755
NPI assigned
Feb 14, 2020
Last updated
Nov 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2021

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

Authorized official

Name
Monique Mason
Title
Administrator
Phone
(623) 229-4755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2451 E Pueblo Ave
Phoenix, AZ 85040-1531

Mailing address

4409 N 179TH Dr
Goodyear, AZ 85395-5201
Phone (623) 229-4755

National Provider Directory

National Provider Directory
Tax ID family
New Vision Behavioral Health Wellness LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637971200000",
    "number": "1710510052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 N 179TH DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853955201",
            "telephone_number": "623-229-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 E PUEBLO AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850401531",
            "telephone_number": "623-229-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION BEHAVIORAL HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2021-11-27",
        "certification_date": "2021-11-27",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-229-4755"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 27, 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.