Shalom Integrated Behavioral Clinic LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SHALOM INTEGRATED BEHAVIORAL CLINIC LLC

Practice address

540 W Iron Ave Ste 201-204
Mesa, AZ 85210-6025

Phone

(520) 304-8856

Fax

(480) 582-6043

NPI assigned

Aug 30, 2022

Last updated

Aug 30, 2022By 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

George Barielup Nyone

Title

Administrative Officer

Phone

(520) 304-8856

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1922728088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W IRON AVE STE 201-204",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106025",
            "telephone_number": "520-304-8856",
            "fax_number": "480-582-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W IRON AVE STE 201-204",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106025",
            "telephone_number": "520-304-8856",
            "fax_number": "480-582-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM INTEGRATED BEHAVIORAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "NYONE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "BARIELUP",
        "authorized_official_title_or_position": "ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "520-304-8856"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahmood R Shahlapour, M.D.
• Robert S Shahon, MD
• Arfa Shaik
• Furqaan Shaikh
• Shalom Heritage LLC- Hope Home
• Bridget Shanahan, AUD
• William F Shangraw, PHARMACIST
• Jeri Kendal Shanks, RDN
• Shannon Gray (Vista Medical Group)
• Shannon Gray

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.