NPIMap

Organization Active NPI

New Journey Residential

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1760146393
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW JOURNEY RESIDENTIAL
Practice address
8135 N 35TH Ave Apt 2097
Phoenix, AZ 85051-5886
Phone
(602) 583-5714
NPI assigned
Oct 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Kiara Graham
Title
Owner
Phone
(602) 583-5714

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Assisted Living Facility (Mental Illness) 3104A0625X
Assisted Living Facility (Behavioral Disturbances) 3104A0630X

Addresses

Primary practice location

8135 N 35TH Ave Apt 2097
Phoenix, AZ 85051-5886

Mailing address

8135 N 35TH Ave Apt 2097
Phoenix, AZ 85051-5886
Phone (602) 583-5714

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1760146393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 N 35TH AVE APT 2097",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850515886",
            "telephone_number": "602-583-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8135 N 35TH AVE APT 2097",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850515886",
            "telephone_number": "602-583-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JOURNEY RESIDENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "KIARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-583-5714"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "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 29, 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.