Organization Active NPI

Uplifting Lives Clinic of Arizona, LLC

  • Adult Mental Health Clinic/Center
  • Glendale, AZ
National Provider Identifier
1841683943
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
UPLIFTING LIVES CLINIC OF ARIZONA, LLC
Practice address
5150 N 99TH Ave
Apt. 1097
Glendale, AZ 85305-3001
Phone
(602) 670-6077
NPI assigned
Mar 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Ms. Shannon Carolyn Phillips
Title
Owner/Clinical Director
Phone
(602) 670-6077

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

5150 N 99TH Ave
Apt. 1097
Glendale, AZ 85305-3001

Mailing address

5150 N 99TH Ave
Apt. 1097
Glendale, AZ 85305-3001
Phone (602) 670-6077

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1841683943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 N 99TH AVE",
            "address_2": "APT. 1097",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053001",
            "telephone_number": "602-670-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 N 99TH AVE",
            "address_2": "APT. 1097",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053001",
            "telephone_number": "602-670-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFTING LIVES CLINIC OF ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "602-670-6077",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.