NPIMap

Organization Active NPI

Prats Residential Behavioral Health Agency IV

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1730433137
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH4111 Issued in AZ
Legal business name
PRATS RESIDENTIAL BEHAVIORAL HEALTH AGENCY IV
Practice address
13811 N 38TH St
Phoenix, AZ 85032-5713
Phone
(602) 348-2115
Fax
(602) 996-1577
NPI assigned
Nov 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Mr. Giselia Prats, LPC
Title
Director
Phone
(602) 348-2115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH4111 AZ Primary

Addresses

Primary practice location

13811 N 38TH St
Phoenix, AZ 85032-5713

Mailing address

3015 E Gelding Dr
Phoenix, AZ 85032
Phone (602) 400-2288

National Provider Directory

National Provider Directory
Tax ID family
Dine Home4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1730433137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 E GELDING DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-400-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13811 N 38TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325713",
            "telephone_number": "602-348-2115",
            "fax_number": "602-996-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATS RESIDENTIAL BEHAVIORAL HEALTH AGENCY IV",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "PRATS",
        "authorized_official_first_name": "GISELIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-348-2115",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH4111",
            "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 7, 2012; 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.