NPIMap

Organization Active NPI

Phoenix Neurological Institute Inc

Doing business as Phoenician Behavioral Health

  • Cognitive & Behavioral Psychologist
  • Phoenix, AZ
National Provider Identifier
1770364564
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
PHOENIX NEUROLOGICAL INSTITUTE INC
Doing business as
Phoenician Behavioral Health
Practice address
2226 W Northern Ave Ste C212
Phoenix, AZ 85021-4929
Phone
(480) 444-7472
Fax
(480) 912-7910
NPI assigned
Oct 9, 2023
Last updated
Oct 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Anupam Ahlawat
Title
Coo
Phone
(480) 444-7447

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X Primary
Psychiatry Physician 2084P0800X

Addresses

Primary practice location

2226 W Northern Ave Ste C212
Phoenix, AZ 85021-4929

Mailing address

1343 N Alma School Rd Ste 160
Chandler, AZ 85224-5901
Phone (480) 444-7472

Other names 1

  • Phoenician Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Phoenician Behavioral Health3 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": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1770364564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 N ALMA SCHOOL RD STE 160",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245901",
            "telephone_number": "480-444-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 W NORTHERN AVE STE C212",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214929",
            "telephone_number": "480-444-7472",
            "fax_number": "480-912-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX NEUROLOGICAL INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "AHLAWAT",
        "authorized_official_first_name": "ANUPAM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "480-444-7447"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenician Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 9, 2023; 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.