Organization Active NPI

B.O.S.S. Integrated Healthcare

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1811595077
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
B.O.S.S. INTEGRATED HEALTHCARE
Practice address
4150 W Peoria Ave
Phoenix, AZ 85029-3900
Phone
(480) 343-8901
NPI assigned
Oct 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Mr. Alan Boss
Title
Owner
Phone
(480) 370-1863

Specialties & licenses 1

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

Addresses

Primary practice location

4150 W Peoria Ave
Phoenix, AZ 85029-3900

Mailing address

4150 W Peoria Ave Ste 216
Phoenix, AZ 85029-3955
Phone (480) 370-1863

National Provider Directory

National Provider Directory

Locations

4150 W Peoria Ave
Phoenix, AZ 85029
Phone (480) 343-8901

NPI Registry JSON

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

{
    "created_epoch": "1602374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1811595077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 W PEORIA AVE STE 216",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293955",
            "telephone_number": "480-370-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 W PEORIA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293900",
            "telephone_number": "480-343-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.O.S.S. INTEGRATED HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-11",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "BOSS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-370-1863",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "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 Dec 17, 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.