Organization Active NPI

Avery's House LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1841911526
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
AVERY'S HOUSE LLC
Practice address
11624 E Shea Blvd
Scottsdale, AZ 85259-5111
Phone
(203) 200-8556
NPI assigned
Sep 9, 2022
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
AVERY'S HOUSE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Andrea Stiner
Title
Billing Director
Phone
(602) 694-9643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

11624 E Shea Blvd
Scottsdale, AZ 85259-5111

Mailing address

11445 E Via Linda Ste 2-617
Scottsdale, AZ 85259-2655
Phone (602) 694-9643

Other practice location 1

4535 S Lakeshore Dr Ste 1B
Tempe, AZ 85282-7046
Phone (623) 500-6766

Other identifiers 1

IdentifierTypeStateIssuer
7992OtherAZSTATE LICENSE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2083427Avery's House, LLC11624 E Shea Blvd, Scottsdale, AZ 85259Certificate of waiverSep 3, 2026

National Provider Directory

National Provider Directory
Tax ID family
Avery's House LLC5 organizations share this tax ID, including this one
Part of
Avery's House LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4820 S Mill Ave
Ste 203
Tempe, AZ 85282
Phone (480) 390-2610

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1841911526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11445 E VIA LINDA STE 2-617",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592655",
            "telephone_number": "602-694-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11624 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595111",
            "telephone_number": "203-200-8556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4535 S Lakeshore Dr Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852827046",
            "country_code": "US",
            "telephone_number": "623-500-6766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AVERY'S HOUSE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVERY'S HOUSE LLC",
        "enumeration_date": "2022-09-09",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "STINER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "602-694-9643"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "7992",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.