Organization Active NPI

Dmuke Behavioral Health Center

  • Adult Psychiatric/Mental Health Registered Nurse
  • Litchfield Park, AZ
National Provider Identifier
1972293751
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
Legal business name
DMUKE BEHAVIORAL HEALTH CENTER
Practice address
19371 W Elm St
Litchfield Park, AZ 85340-4656
Phone
(469) 910-4181
NPI assigned
May 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Mr. David Laurent Mugomoke, REGISTERED NURSE
Title
Director
Phone
(469) 910-4181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WP0809X Primary

Addresses

Primary practice location

19371 W Elm St
Litchfield Park, AZ 85340-4656

Mailing address

19371 W Elm St
Litchfield Park, AZ 85340-4656
Phone (469) 910-4181

National Provider Directory

National Provider Directory
Tax ID family
Dmuke Behavioral Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1972293751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19371 W ELM ST",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404656",
            "telephone_number": "469-910-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19371 W ELM ST",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404656",
            "telephone_number": "469-910-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMUKE BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-13",
        "status": "A",
        "authorized_official_last_name": "MUGOMOKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LAURENT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "469-910-4181",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.