Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHRYSALIS SHELTER FOR VICTIMS OF DOMESTIC VIOLENCE INC
NPI 1033263694
Point of Service in Phoenix, AZ

Q: What is Chrysalis Shelter For Victims Of Domestic Violence Inc's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Active since January 22, 2007

2055 WEST NORTHERN AVENUE, PHOENIX, AZ 85021(602) 955-9059(602) 955-0165 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 30, 2026, Sep 15, 2026 (2 updates tracked since 2026).

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About Chrysalis Shelter For Victims Of Domestic Violence Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRYSALIS SHELTER FOR VICTIMS OF DOMESTIC VIOLENCE INC (NPI 1033263694) is a healthcare organization registered as a point of service in Phoenix, Arizona and active in the NPI registry since January 2007. The organization lists Susan Connelly, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033263694

Entity TypeOrganization

Primary Taxonomy305S00000X

Legal Business NameCHRYSALIS SHELTER FOR VICTIMS OF DOMESTIC VIOLENCE INC

Location Address2055 WEST NORTHERN AVENUEPhoenix, AZ 85021-5157

Mailing Address2055 W Northern AvePhoenix, AZ 85021-5157 · (602) 955-9059 · Fax (602) 955-0165

Phone(602) 955-9059

Fax(602) 955-0165

Organization SubpartNo

Authorized OfficialSusan ConnellyCeo · (602) 955-9059

Enumeration DateJanuary 22, 2007

Last NPPES UpdateSeptember 30, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2026

✔ NPI 1033263694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations

Taxonomy Code305S00000X

License✔ Licensed in AZ · BH4093

Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

2055 WEST NORTHERN AVENUE, Phoenix, AZ 85021

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Other Names 1

Other NameChrysalis

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chrysalis Shelter For Victims Of Domestic Violence Inc's NPI number?

The NPI number for Chrysalis Shelter For Victims Of Domestic Violence Inc is 1033263694. It was assigned to this organization in the NPPES registry on January 22, 2007. The provider is also known as Chrysalis.

Where is Chrysalis Shelter For Victims Of Domestic Violence Inc located?

Chrysalis Shelter For Victims Of Domestic Violence Inc is located at 2055 West Northern Avenue, Phoenix, AZ 85021. The listed phone number is (602) 955-9059.

What is Chrysalis Shelter For Victims Of Domestic Violence Inc's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Chrysalis Shelter For Victims Of Domestic Violence Inc was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.