Organization Active NPI

KLS Behavioral Health LLC

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
National Provider Identifier
1750011847
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
KLS BEHAVIORAL HEALTH LLC
Practice address
9201 N 25TH Ave Ste 143
Phoenix, AZ 85021-2722
Phone
(516) 474-1561
NPI assigned
Jun 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Krysanthe Caraturo, MBA
Title
Site Administrator
Phone
(516) 474-1561

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

9201 N 25TH Ave Ste 143
Phoenix, AZ 85021-2722

Mailing address

9201 N 25TH Ave Ste 143
Phoenix, AZ 85021-2722
Phone (516) 474-1561

National Provider Directory

National Provider Directory

Locations

9201 N 25th Ave
Ste 143
Phoenix, AZ 85021
Phone (480) 297-2632

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1750011847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 N 25TH AVE STE 143",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212722",
            "telephone_number": "516-474-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 N 25TH AVE STE 143",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212722",
            "telephone_number": "516-474-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLS BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "CARATURO",
        "authorized_official_first_name": "KRYSANTHE",
        "authorized_official_title_or_position": "SITE ADMINISTRATOR",
        "authorized_official_telephone_number": "516-474-1561",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 31, 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.