Active NPI
New Hope Behavioral Health Center Inc
- Health Service Clinic/Center
- Mesa, AZ
National Provider Identifier
1992387112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- NEW HOPE BEHAVIORAL HEALTH CENTER INC
- Practice address
- 215 S Power Rd Ste 216
Mesa, AZ 85206-5238 - Phone
- (480) 981-1022
- Fax
- (480) 981-1405
- NPI assigned
- Apr 27, 2021
- Organization subpart
- Yes
- Parent organization
- NEW HOPE BEHAVIORAL HEALTH CENTER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mindi A Woodruff
- Title
- Owner
- Phone
- (480) 981-1022
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
215 S Power Rd Ste 216
Mesa, AZ 85206-5238
Mailing address
215 S Power Rd Ste 114
Mesa, AZ 85206-5236
Phone (480) 981-1022
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578685822 | Other | AZ | NPI |
| 893554 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210715000827 | AZ | Part B Supplier - Clinic/Group Practice | 3678906104 |
Receives reassigned benefits from 3 practitioners Practice locations: Mesa, AZ |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Part of
- New Hope Behavioral Health
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Scottsdale, AZ
- NPI 1184198475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619481600000",
"number": "1992387112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 S POWER RD STE 114",
"city": "MESA",
"state": "AZ",
"postal_code": "852065236",
"telephone_number": "480-981-1022",
"fax_number": "480-981-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S POWER RD STE 216",
"city": "MESA",
"state": "AZ",
"postal_code": "852065238",
"telephone_number": "480-981-1022",
"fax_number": "480-981-1405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW HOPE BEHAVIORAL HEALTH CENTER INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEW HOPE BEHAVIORAL HEALTH CENTER INC",
"enumeration_date": "2021-04-27",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A",
"authorized_official_last_name": "WOODRUFF",
"authorized_official_first_name": "MINDI",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-981-1022"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1578685822",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "893554",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.