Individual provider Active NPI

Debbie Okojie

  • Child Mental Illness Respite Care
  • Phoenix, AZ
National Provider Identifier
1871914119
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Mental Illness Respite CareTaxonomy code 385HR2055X
License
5343095 Issued in AZ
Practice address
4041 N 27TH St Unit 110
Phoenix, AZ 85016-6773
Phone
(602) 283-7117
NPI assigned
Jan 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Mental Illness Respite Care 385HR2055X 5343095 AZ Primary

Addresses

Primary practice location

4041 N 27TH St Unit 110
Phoenix, AZ 85016-6773

Mailing address

4041 N 27TH St Unit 110
Phoenix, AZ 85016-6773
Phone (602) 283-7117

Other identifiers 1

IdentifierTypeStateIssuer
5343095OtherAZDES FOSTER CARE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5343095AZMDChild Mental Illness Respite Care

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1871914119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 N 27TH ST UNIT 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166773",
            "telephone_number": "602-283-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 N 27TH ST UNIT 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166773",
            "telephone_number": "602-283-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOJIE",
        "first_name": "DEBBIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-03",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "5343095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DES FOSTER CARE LICENSE",
            "identifier": "5343095",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.