Active NPI
Courbyne Bufford
- Community/Behavioral Health Agency
- Phoenix, AZ
National Provider Identifier
1932916152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- OTC6221
- Practice address
- 1005 N 1St St
Phoenix, AZ 85004-1924 - Phone
- (602) 258-1481
- NPI assigned
- Dec 11, 2024
- Last updated
- Oct 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | OTC6221 | AZ | Primary |
Addresses
Primary practice location
1005 N 1St St
Phoenix, AZ 85004-1924
Mailing address
11609 N 30TH LN
Phoenix, AZ 85029-3249
Phone (480) 329-5716
Other practice location 1
20325 N 51st Ave Ste 163
Glendale, AZ 85308-5674
Phone (844) 385-3747 ext. 1003
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTC6221 | AZ | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1932916152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11609 N 30TH LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850293249",
"telephone_number": "480-329-5716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 N 1ST ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041924",
"telephone_number": "602-258-1481"
}
],
"practiceLocations": [
{
"address_1": "20325 N 51st Ave Ste 163",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853085674",
"country_code": "US",
"telephone_number": "844-385-3747 x1003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUFFORD",
"first_name": "COURBYNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-11",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AZ",
"license": "OTC6221",
"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 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.