Organization Active NPI

Anza Wellness & Recovery Services, PLLC

  • Adult Mental Health Clinic/Center
  • Goodyear, AZ
National Provider Identifier
1962128249
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ANZA WELLNESS & RECOVERY SERVICES, PLLC
Practice address
15150 W Park PL
2ND Floor, Suite 2031
Goodyear, AZ 85395
Phone
(480) 999-8200
Fax
(480) 800-2212
NPI assigned
Oct 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Caleb M Reid, PMHNPNPI 1053759217
Title
Owner/Member Manager
Phone
(480) 999-8200

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 9

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Case Management Agency 251B00000X
Clinic/Center 261Q00000X
Adult Mental Health Clinic/Center 261QM0850X Primary
Multi-Specialty Clinic/Center 261QM1300X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

15150 W Park PL
2ND Floor, Suite 2031
Goodyear, AZ 85395

Mailing address

412 E Southern Ave
Tempe, AZ 85282-5212
Phone (651) 800-5900

Other practice location 1

703 Walnut St # 80302
Boulder, CO 80302-5032
Phone (480) 999-8200

Other practice location 2

410 E Southern Ave
Tempe, AZ 85282-5212
Phone (480) 797-4600

Other practice location 3

412 E Southern Ave
Tempe, AZ 85282-5212
Phone (480) 797-4600

Other practice location 4

703 Walnut St
Boulder, CO 80302-5032
Phone (480) 999-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230327002315 AZ Part B Supplier - Clinic/Group Practice 2860866274 Receives reassigned benefits from 1 practitioner
Practice locations: Goodyear, AZ

National Provider Directory

National Provider Directory

Locations

703 Walnut St
Boulder, CO 80302
Phone (480) 999-8200

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1962128249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825212",
            "telephone_number": "651-800-5900",
            "fax_number": "480-800-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15150 W PARK PL",
            "address_2": "2ND FLOOR, SUITE 2031",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "480-999-8200",
            "fax_number": "480-800-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Walnut St # 80302",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803025032",
            "country_code": "US",
            "telephone_number": "480-999-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 E Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852825212",
            "country_code": "US",
            "telephone_number": "480-797-4600",
            "fax_number": "480-800-2212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 E Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852825212",
            "country_code": "US",
            "telephone_number": "480-797-4600",
            "fax_number": "480-800-2212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "703 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803025032",
            "country_code": "US",
            "telephone_number": "480-999-8200",
            "fax_number": "480-800-2212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANZA WELLNESS & RECOVERY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "CALEB",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MEMBER MANAGER",
        "authorized_official_telephone_number": "480-999-8200",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.