NPIMap

Organization Active NPI

A New Leaf, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesa, AZ
National Provider Identifier
1922567817
Registry record updated Jan 24, 2020
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
A NEW LEAF, INC.
Practice address
2254 W Main St
Mesa, AZ 85201-6847
Phone
(480) 969-4024
NPI assigned
Mar 19, 2019
Last updated
Jan 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Brian Beckstead
Title
Director of Informatics
Phone
(480) 848-6088

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

2254 W Main St
Mesa, AZ 85201-6847

Mailing address

868 E University Dr
Mesa, AZ 85203-8033
Phone (480) 969-4024

Other identifiers 2

IdentifierTypeStateIssuer
OTC9432OtherAZARIZONA DEPARTMENT OF HEALTH SERVICES
577747MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
A New Leaf Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1922567817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038033",
            "telephone_number": "480-969-4024",
            "fax_number": "480-969-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2254 W MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016847",
            "telephone_number": "480-969-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A NEW LEAF, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "BECKSTEAD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR OF INFORMATICS",
        "authorized_official_telephone_number": "480-848-6088"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "OTC9432",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "577747",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.