Active NPI
Avery's House LLC
- Adolescent and Children Mental Health Clinic/Center
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- 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, 2026
- Organization subpart
- Yes
- Parent organization
- AVERY'S HOUSE LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7992 | Other | AZ | STATE LICENSE |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2083427 | Avery's House, LLC | Certificate of waiver | Sep 3, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Avery's House LLC
- 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.
-
- Psychiatric Residential Treatment Facility
- Apache Junction, AZ
- NPI 1437894904
-
- Mental Illness Community Based Residential Treatment Facility
- Fountain Hills, AZ
- NPI 1063116127
-
- Adolescent and Children Mental Health Clinic/Center
- Meridian, ID
- NPI 1073487260
-
- Psychiatric Residential Treatment Facility
- Boise, ID
- NPI 1083302822
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.
-
- Psychiatric Residential Treatment Facility
- Apache Junction, AZ
- NPI 1437894904
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
- Tanya Averill, D.C.
- Richard L Averitte Jr., MD
- Avery Investments of Mesa LLC (Visiting Angels)
- Avery Investments of Phoenix, LLC
- Avery Investments of Scottsdale Corp (Visiting Angels)
- Aviara Health Services LLC
- Aviation West Charters Inc
- Aviation West Charters LLC (Angel Medflight LLC)
- Avicenna Laser Therapy Center, PC
- Sophia Maria Avila
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.