Anasazi Foundation

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

BH1130 Issued in AZ

Legal business name

ANASAZI FOUNDATION

Practice address

1424 S Stapley Dr
Mesa, AZ 85204-5877

Phone

(480) 892-7403

NPI assigned

Feb 11, 2015

Last updated

Feb 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Merchant

Title

Ceo President

Phone

(480) 892-7403

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1831580810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 S STAPLEY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045877",
            "telephone_number": "480-892-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 S STAPLEY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045877",
            "telephone_number": "480-892-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANASAZI FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "MERCHANT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "480-892-7403",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH1130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry M Amstutz, DO
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• Amy T An, CNM, ARNP
• Anasazi Foundation
• Anasazi Integrated Health and Wellness
• Anasazi Medical Clinic PC
• John Curtis Anaya, C.C.P
• Sara Elizabeth Ancello, D.O.
• Rebecca Ortega Anchondo, RN, MSN, ANP-BC

• Substance Abuse Rehabilitation Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.