Active NPI
Collective Care Health Network LLC
- Community/Behavioral Health Agency
- Tempe, AZ
National Provider Identifier
1992437164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- COLLECTIVE CARE HEALTH NETWORK LLC
- Practice address
- 630 W 17TH PL
Tempe, AZ 85281-6519 - Phone
- (480) 331-6228
- NPI assigned
- Jun 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Desiree Wilson
- Title
- Owner
- Phone
- (480) 331-6228
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
630 W 17TH PL
Tempe, AZ 85281-6519
Mailing address
3409 N 7TH Ave Unit 2018
Phoenix, AZ 85013-3635
National Provider Directory
National Provider DirectoryLocations
630 W 17th Pl
Tempe, AZ 85281
Phone (480) 331-6228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774828800000",
"number": "1992437164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3409 N 7TH AVE UNIT 2018",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 W 17TH PL",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852816519",
"telephone_number": "480-331-6228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLECTIVE CARE HEALTH NETWORK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-27",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "DESIREE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-331-6228"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.