NPIMap

Organization Active NPI

New Vision Behavioral Health & Wellness LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1760015093
Registry record updated Mar 1, 2020
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
Mar 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2020

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

7804 W Marlette Ave
Glendale, AZ 85303-4215

Other practice location 1

854 S Sunset Ave
Somerton, AZ 85350-5005
Phone (623) 229-4755

Other practice location 2

4732 N 86th Dr
Phoenix, AZ 85037-1230
Phone (603) 367-5345

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": "1583020800000",
    "number": "1760015093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7804 W MARLETTE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853034215"
        },
        {
            "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": [
        {
            "address_1": "854 S Sunset Ave",
            "address_purpose": "LOCATION",
            "city": "Somerton",
            "state": "AZ",
            "postal_code": "853505005",
            "country_code": "US",
            "telephone_number": "623-229-4755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4732 N 86th Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850371230",
            "country_code": "US",
            "telephone_number": "603-367-5345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW VISION BEHAVIORAL HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "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 Mar 1, 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.