Premium Behavior Clinic, LLC

Primary specialty

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

Legal business name

PREMIUM BEHAVIOR CLINIC, LLC

Practice address

5251 W Campbell Ave Ste 203
Phoenix, AZ 85031-1719

Phone

(602) 486-4328

NPI assigned

Oct 31, 2023

Organization subpart

No

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

Authorized official

Name

Drocelle Wilson

Title

Ceo

Phone

(480) 258-8703

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1942073101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251 W CAMPBELL AVE STE 203",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311719",
            "telephone_number": "480-258-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251 W CAMPBELL AVE STE 203",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311719",
            "telephone_number": "602-486-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM BEHAVIOR CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DROCELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-258-8703"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Arizona Medical PC (Healthier You Clinic)
• Premise Health of Arizona Medical PC (Premise Health Care Center)
• Premise Health of Arizona Medical PC (PGTI Wellness Center)
• Premise Health of Arizona Medical PC (USAA Phoenix)
• Premise Health of Arizona Medical, P.C. (Maricopa Health Center)
• Premium Health Care Services
• Premium Legacy Healthcare Inc
• Agnes J Premkumar, MD
• Arcot S Premkumar, MD
• Celina Premkumar

• Mental Health Clinic/Center (Including Community Mental Health Center) in Phoenix, AZ
• Providers in Phoenix, 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 Feb 2, 2026; 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.