Psychiatric Services, L.L.C.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

23948 Issued in AZ

Legal business name

PSYCHIATRIC SERVICES, L.L.C.

Practice address

4146 N 12TH St
Phoenix, AZ 85014-4932

Phone

(602) 434-4541

Fax

(602) 282-3894

NPI assigned

Jun 10, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Amnon Israel Kahane, M.D.

Title

Owner/Psychiatrist

Phone

60243444541

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1851611040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W BERYL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850211606",
            "telephone_number": "602-434-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4146 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144932",
            "telephone_number": "602-434-4541",
            "fax_number": "602-282-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "KAHANE",
        "authorized_official_first_name": "AMNON",
        "authorized_official_middle_name": "ISRAEL",
        "authorized_official_title_or_position": "OWNER/PSYCHIATRIST",
        "authorized_official_telephone_number": "60243444541",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "23948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "451485",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.