BYRON JACKSON
NPI 1225667264
Community/Behavioral Health in Phoenix, AZ
- Individual
- Male
- Community/Behavioral Health
About BYRON JACKSON
This page provides the complete NPI Profile along with additional information for Byron Jackson, a provider established in Phoenix, Arizona with a medical specialization in Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1225667264 assigned on April 2020. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1225667264 Verify this NPI
- Provider Name
- BYRON JACKSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3101 N CENTRAL AVE # 220B PHOENIX, AZ 85012
- Location Phone
- (602) 920-2791
- Mailing Address
- 2320 E BASELINE RD STE 148-203 PHOENIX, AZ 85042
- Mailing Phone
- (602) 920-2791
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-02-2020
- Last Update Date
- 04-02-2020
- 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 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225667264, enumerated as an "individual" on April 02, 2020.
The provider is located at 3101 N CENTRAL AVE # 220B PHOENIX, AZ 85012 and the phone number is (602) 920-2791.
Community/Behavioral Health with taxonomy code 251S00000X.
