NEW VISION BEHAVIORAL HEALTH & WELLNESS LLC


Address: 4732 N 86th Dr, Phoenix, AZ 85037-1230
Phone: 6234448479

NEW VISION BEHAVIORAL HEALTH & WELLNESS LLC (NPI# 1164829669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164829669
Entity Type Organization
Organization Name NEW VISION BEHAVIORAL HEALTH & WELLNESS LLC
Practice Address 4732 N 86th Dr
Phoenix
AZ 85037-1230
Mailing Address 7804 W Marlette Ave
Glendale
AZ 85303-4215
Practice Telephone 6234448479
Enumeration Date 2014-11-26
Last Update Date 2020-02-14
Authorized Official Name JAMES R BURRELL (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6023675345
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health BH4493 AZ Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1760015093 New Vision Behavioral Health & Wellness LLC Community/Behavioral Health 2451 E Pueblo Ave, Phoenix, AZ 85040-1531 2020-02-14

Office Location

Street Address 4732 N 86TH DR
City PHOENIX
State AZ
Zip Code 85037-1230

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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NPI Name Taxonomy Address Enumeration
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Competitor

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City PHOENIX
Zip Code 85037

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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