DESTINY OUTPATIENT SERVICES
NPI 1336593045
Community/Behavioral Health in Phoenix, AZ

Q: What is Destiny Outpatient Services's NPI number?

The NPI number for Destiny Outpatient Services is 1336593045. It was assigned to this organization in the NPPES registry on April 19, 2016.

Q: What is Destiny Outpatient Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since April 19, 2016CLIA 03D2133560 · Waiver

5308 N 17TH AVE, PHOENIX, AZ 85015(602) 249-6674(602) 926-0590 Get Directions Write a Review

NPPES record last updated: April 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Destiny Outpatient Services NPPES

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

DESTINY OUTPATIENT SERVICES (NPI 1336593045) is a healthcare organization registered as a community/behavioral health in Phoenix, Arizona and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through August 30, 2026 and lists Kathleen Geor-zell Bynum, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1336593045

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameDESTINY OUTPATIENT SERVICES

Location Address5308 N 17TH AVEPhoenix, AZ 85015-3035

Mailing Address5306 N 17th AvePhoenix, AZ 85015-3035 · (602) 249-6674 · Fax (602) 926-0590

Phone(602) 249-6674

Fax(602) 926-0590

Organization SubpartNo

Authorized OfficialKathleen Geor-zell BynumExecutive Director · (602) 327-8375

Enumeration DateApril 19, 2016

✔ NPI 1336593045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in AZ · OTC7551

Definition

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.

5308 N 17TH AVE, Phoenix, AZ 85015

Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2133560

Destiny Outpatient Services · Phoenix, AZ

Active · expires Aug 30, 2026

CLIA Number03D2133560

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateAugust 31, 2024

Certificate Expiration DateAugust 30, 2026

Laboratory DirectorKelly G. Bennett

Laboratory Phone(602) 249-6674

Laboratory LocationDestiny Outpatient Services5308 N 17th Ave, Phoenix, AZ 85015

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Destiny Outpatient Services's NPI number?

The NPI number for Destiny Outpatient Services is 1336593045. It was assigned to this organization in the NPPES registry on April 19, 2016.

Where is Destiny Outpatient Services located?

Destiny Outpatient Services is located at 5308 N 17th Ave, Phoenix, AZ 85015. The listed phone number is (602) 249-6674.

What is Destiny Outpatient Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Destiny Outpatient Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2133560) is associated with this NPI, valid through August 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Destiny Outpatient Services was last updated on April 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.