NEW VISION BEHAVIORAL HEALTH & WELLNESS LLC
NPI 1164829669
Community/Behavioral Health in Phoenix, AZ
- Organization
- Community/Behavioral Health
- CLIA Number: 03D2253194
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 02-16-2026
About NEW VISION BEHAVIORAL HEALTH & WELLNESS LLC
This page provides the complete NPI Profile along with additional information for New Vision Behavioral Health & Wellness Llc, a provider established in Phoenix, Arizona operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1164829669 assigned on November 2014. The practitioner's primary taxonomy code is 251S00000X with license number BH4493 (AZ). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is James R Burrell Phd (Executive Director)
- NPI
- 1164829669 Verify this NPI
- Provider Name
- NEW VISION BEHAVIORAL HEALTH & WELLNESS LLC
- Entity Type
- Organization
- Location Address
- 4732 N 86TH DR PHOENIX, AZ 85037
- Location Phone
- (623) 444-8479
- Mailing Address
- 7804 W MARLETTE AVE GLENDALE, AZ 85303
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-26-2014
- Last Update Date
- 02-14-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- BH4493
- License State
- AZ
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2253194
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- February 17, 2024
- Certificate Expiration Date
- February 16, 2026
- Laboratory Director
- JAMES R. BURRELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to New Vision Behavioral Health & Wellness Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164829669, enumerated as an "organization" on November 26, 2014.
The provider is located at 4732 N 86TH DR PHOENIX, AZ 85037 and the phone number is (623) 444-8479.
Community/Behavioral Health with taxonomy code 251S00000X.
