NPIMap

Organization Active NPI

Ocd Anxiety Centers Arizona LLC

  • Community/Behavioral Health Agency
  • Mesa, AZ
National Provider Identifier
1801646633
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OCD ANXIETY CENTERS ARIZONA LLC
Practice address
1801 S Extension Rd
Mesa, AZ 85210-5969
Phone
(888) 695-7682
NPI assigned
Mar 25, 2024
Last updated
Sep 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Paul PetersonNPI 1528114667
Title
Ceo
Phone
(801) 298-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1801 S Extension Rd
Mesa, AZ 85210-5969

Mailing address

11260 S River Heights Dr
South Jordan, UT 84095-5119

National Provider Directory

National Provider Directory

Locations

1801 S Extension Rd
Mesa, AZ 85210
Phone (480) 508-9052

Practitioners & affiliated clinicians

Practitioners 7

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": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1801646633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11260 S RIVER HEIGHTS DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S EXTENSION RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105969",
            "telephone_number": "888-695-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCD ANXIETY CENTERS ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-298-2000"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.