Individual provider Active NPI

Folake Akanbi

  • Child Mental Illness Respite Care
  • Surprise, AZ
National Provider Identifier
1972964492
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Mental Illness Respite CareTaxonomy code 385HR2055X
License
7199693 Issued in AZ
Practice address
15456 W Tasha Cir
Surprise, AZ 85374-1436
Phone
(623) 792-7234
NPI assigned
Mar 10, 2016
Last updated
Mar 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Mental Illness Respite Care 385HR2055X 7199693 AZ Primary

Addresses

Primary practice location

15456 W Tasha Cir
Surprise, AZ 85374-1436

Mailing address

2320 W Peoria Ave
Suite B-147
Phoenix, AZ 85029-4753
Phone (602) 283-7117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7199693AZMDChild Mental Illness Respite Care

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1972964492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 W PEORIA AVE",
            "address_2": "SUITE B-147",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294753",
            "telephone_number": "602-283-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15456 W TASHA CIR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853741436",
            "telephone_number": "623-792-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKANBI",
        "first_name": "FOLAKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "7199693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.