Northwest Organization for Voluntary Alternatives

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

BH3380 Issued in AZ

Legal business name

NORTHWEST ORGANIZATION FOR VOLUNTARY ALTERNATIVES

Doing business as

Nova

Practice address

4425 W Olive Ave
Suite 200
Glendale, AZ 85302-3843

Phone

(623) 937-9203

Fax

(623) 930-0358

NPI assigned

Nov 7, 2006

Last updated

Jun 25, 2012By 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

Mrs. Mary E Oconnor

Title

Director of Finance

Phone

(623) 937-9203

Specialties & licenses 1

Addresses

Other names 1

• NOVA Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elise Carolyn Wise, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, AZ
  • NPI 1245265917
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1861561375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 W OLIVE AVE",
            "address_2": "SUITE 200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023843",
            "telephone_number": "623-937-9203",
            "fax_number": "623-930-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 W OLIVE AVE",
            "address_2": "SUITE 200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023843",
            "telephone_number": "623-937-9203",
            "fax_number": "623-930-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ORGANIZATION FOR VOLUNTARY ALTERNATIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "623-937-9203",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH3380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOVA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northwest Chest Consultants
• Northwest Christian Counseling, LLC
• Northwest Counseling & Associates
• Northwest Counseling and Associates LLC
• Northwest Organization for Voluntary Alternatives (DBA: Maverick House)
• Jean Norton
• Nova Via Glendale LLC
• Novaspine Pain Institute, PLC
• Stephanie Nowacinski, LISAC, LPC
• Bernard Dennis Nowicki, HIS DISPENCER

• Community/Behavioral Health Agency in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.