Ebrima Bayoh

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

BH8444 Issued in AZ

Practice address

10909 W Adams St
Avondale, AZ 85323-6895

Phone

(623) 330-0184

Fax

(623) 399-8672

NPI assigned

Jun 27, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bayoh Behavioral Health Services LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Avondale, AZ
  • NPI 1629754114

  Community Based Residential Treatment Facility, Mental Illness

  NPD Authorized official
• Bayoh Behavioral Health Services LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1922757491

  Community Based Residential Treatment Facility, Mental Illness

  NPD Authorized official

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1982380473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17185 W HAMMOND ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10909 W ADAMS ST",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853236895",
            "telephone_number": "623-330-0184",
            "fax_number": "623-399-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYOH",
        "first_name": "EBRIMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH8444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Marie Barron
• Heather Bartelt, PHARM D
• Devyn Bartlett
• Margaret Frances Bauman, LISAC
• Bayoh Behavioral Health Services LLC
• Janet Becchina, PHARMACY TECHNICIAN
• Alicia Dawn Becker, SLPA
• Jeffrey Beirow, LMFT
• Justin Markel Belford, NP-C
• Taylor Bell

• Mental Illness Community Based Residential Treatment Facility in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.