Organization Active NPI

Cornerstone to Life LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1770202632
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CORNERSTONE TO LIFE LLC
Practice address
4040 E McDowell Rd
Suite 319
Phoenix, AZ 85008-4447
Phone
(602) 607-5151
NPI assigned
Aug 24, 2022
Last updated
Aug 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Jordon Stone
Title
Ceo
Phone
(312) 796-4884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

4040 E McDowell Rd
Suite 319
Phoenix, AZ 85008-4447

Mailing address

4040 E McDowell Rd
Suite 319
Phoenix, AZ 85008-4447
Phone (602) 607-5151

National Provider Directory

National Provider Directory

Locations

4040 E McDowell Rd
Ste 319
Phoenix, AZ 85008
Phone (602) 607-5151

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1770202632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 E MCDOWELL RD",
            "address_2": "SUITE 319",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084447",
            "telephone_number": "602-607-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 E MCDOWELL RD",
            "address_2": "SUITE 319",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084447",
            "telephone_number": "602-607-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE TO LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "JORDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-796-4884"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental 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 Aug 24, 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.