FJCM Behavioral Healthcare

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

32450000X Issued in AZ

Legal business name

FJCM BEHAVIORAL HEALTHCARE

Practice address

2710 E Valencia Dr
Phoenix, AZ 85042-7081

Phone

(602) 268-7024

NPI assigned

Mar 7, 2017

Organization subpart

Yes

Parent organization

FJCM BEHAVIORAL HEALTHCAREAs reported in NPPES

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

Authorized official

Name

Faustin Bulongo Kapelemba

Title

Manager/Dirctor

Phone

(602) 643-5723

Specialties & licenses 2

Addresses

Other names 1

• FJCM GROUP LLC Doing business as

Part of

FJCM Behavioral Healthcare

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1861932048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 W SAMANTHA WAY",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392141",
            "telephone_number": "602-237-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 E VALENCIA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850427081",
            "telephone_number": "602-268-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FJCM BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FJCM BEHAVIORAL HEALTHCARE",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "KAPELEMBA",
        "authorized_official_first_name": "FAUSTIN",
        "authorized_official_middle_name": "BULONGO",
        "authorized_official_title_or_position": "MANAGER/DIRCTOR",
        "authorized_official_telephone_number": "602-643-5723"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "320800000X",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "32450000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FJCM GROUP LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joan Marie Fiumara, FNP-C
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• FJCM Behavioral Health Care LLC
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• Amber L Flaherty, M.D.
• Julia Flaherty, LPN

• Substance Abuse Rehabilitation Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.