NPIMap

Organization Active NPI

Elite Innovative Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gilbert, AZ
National Provider Identifier
1881264273
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ELITE INNOVATIVE HEALTH LLC
Practice address
325 E Baseline Rd
Gilbert, AZ 85233-1102
Phone
(708) 595-0973
NPI assigned
Jun 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
William Richardson
Title
Managing Partner
Phone
(708) 595-0973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

325 E Baseline Rd
Gilbert, AZ 85233-1102

Mailing address

325 E Baseline Rd
Gilbert, AZ 85233-1102

National Provider Directory

National Provider Directory

Locations

325 E Baseline Rd
Gilbert, AZ 85233
Phone (708) 595-0973

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1881264273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E BASELINE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E BASELINE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331102",
            "telephone_number": "708-595-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE INNOVATIVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "708-595-0973"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.