Organization Active NPI

Arizona Behavioral Health Center

  • Counselor
  • Phoenix, AZ
National Provider Identifier
1922761204
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
ARIZONA BEHAVIORAL HEALTH CENTER
Practice address
2600 N 44TH St Ste B-104
Phoenix, AZ 85008-1521
Phone
(602) 343-8282
NPI assigned
Oct 14, 2021
Last updated
Oct 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Poliana Willie
Title
Licensed Therapist
Phone
(602) 343-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

2600 N 44TH St Ste B-104
Phoenix, AZ 85008-1521

Mailing address

2600 N 44TH St # B-104
Phoenix, AZ 85008-1521

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1922761204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N 44TH ST # B-104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850081521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N 44TH ST STE B-104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850081521",
            "telephone_number": "602-343-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "WILLIE",
        "authorized_official_first_name": "POLIANA",
        "authorized_official_title_or_position": "LICENSED THERAPIST",
        "authorized_official_telephone_number": "602-343-8282"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 14, 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.