NPIMap

Organization Active NPI

Jezzob Behavioral Health LLC

  • Psychiatric Residential Treatment Facility
  • Laveen, AZ
National Provider Identifier
1730701517
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
JEZZOB BEHAVIORAL HEALTH LLC
Practice address
4918 W Apollo Rd
Laveen, AZ 85339-6289
Phone
(602) 521-2351
Fax
(480) 718-8860
NPI assigned
May 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Mr. Zebedee T Yong
Title
Facility Operations Director
Phone
(602) 521-2351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

4918 W Apollo Rd
Laveen, AZ 85339-6289

Mailing address

4918 W Apollo Rd
Laveen, AZ 85339-6289
Phone (602) 521-2351

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@jezzobhealthcare.org Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Jezzob Behavioral Health LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1730701517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4918 W APOLLO RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853396289",
            "telephone_number": "602-521-2351",
            "fax_number": "480-718-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4918 W APOLLO RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853396289",
            "telephone_number": "602-521-2351",
            "fax_number": "480-718-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEZZOB BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "YONG",
        "authorized_official_first_name": "ZEBEDEE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "FACILITY OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "602-521-2351",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@jezzobhealthcare.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4918 W Apollo Rd",
            "city": "Laveen",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853396289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.