Organization Active NPI

Urbanspectrum Community Based Services

Doing business as UrbanYouthSpectrum of Arizona

  • Community/Behavioral Health Agency
  • Avondale, AZ
National Provider Identifier
1932928173
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
URBANSPECTRUM COMMUNITY BASED SERVICES
Doing business as
UrbanYouthSpectrum of Arizona
Practice address
12225 W Buchanan Street
Avondale, AZ 85323
Phone
(317) 586-5993
NPI assigned
Oct 4, 2024
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Deborah Denise MerriweatherNPI 1144068339
Title
Ceo
Phone
(317) 586-5993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

12225 W Buchanan Street
Avondale, AZ 85323

Mailing address

12225 W Buchanan Street
Avondale, AZ 85323
Phone (317) 586-5993

Other names 1

  • UrbanYouthSpectrum of Arizona Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1932928173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12225 W BUCHANAN STREET",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "85323",
            "telephone_number": "317-586-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12225 W BUCHANAN STREET",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "85323",
            "telephone_number": "317-586-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBANSPECTRUM COMMUNITY BASED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "MERRIWEATHER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-586-5993"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UrbanYouthSpectrum of Arizona",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UrbanYouthSpectrum of Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.