Individual provider Active NPI

Collins Bezaajuh

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1922874833
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH9356 Issued in AZ
Practice address
7208 W Windsor Ave
Phoenix, AZ 85035-1332
Phone
(602) 601-0586
NPI assigned
Dec 1, 2023
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH9356 AZ Primary

Addresses

Primary practice location

7208 W Windsor Ave
Phoenix, AZ 85035-1332

Mailing address

7208 W Windsor Ave
Phoenix, AZ 85035-1332
Phone (602) 601-0586

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
BH9356AZMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Divinehelp LLC CurrentSince Mar 20, 2025 Accepting new patients
Flamenco Behavioral Health LLC Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1922874833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7208 W WINDSOR AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850351332",
            "telephone_number": "602-601-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 W WINDSOR AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850351332",
            "telephone_number": "602-601-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZAAJUH",
        "first_name": "COLLINS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH9356",
            "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 Dec 1, 2023; 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.