Halo Community Services

Primary specialty

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

Legal business name

HALO COMMUNITY SERVICES

Practice address

12133 W Bell Rd Ste 201
Surprise, AZ 85378-9408

Phone

(623) 229-5825

NPI assigned

Mar 22, 2021

Organization subpart

No

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

Authorized official

Name

Thania Pennington

Title

Ceo

Phone

(623) 229-5825

Specialties & licenses 1

Addresses

Tax ID family

Halo Community Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Halo Community Services

  • Case Management Agency
  • Surprise, AZ
  • NPI 1356948947
  NPD tax ID

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1942886791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15778 W CARIBBEAN LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853796238",
            "telephone_number": "623-229-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12133 W BELL RD STE 201",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789408",
            "telephone_number": "623-229-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "THANIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-229-5825"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Gerald Hall, PA-C
• Edward Hall
• Jacqueline Hall, COTA/L
• Methawee Hall
• Halo Community Services
• Aimee Halvorsen, RN CDE
• Madison Kay Ham
• Christopher Eric Hamilton, M.D.
• Maria Hamilton, PSY.D.
• Bradley Tayler Hammond, DDS, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Surprise, AZ
• Providers in Surprise, 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 Mar 22, 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.