ACTIVE INTEGRATED HEALTH
NPI 1366112609
Clinic/Center - Mental Health (Including Community Mental Health Center) in El Mirage, AZ

Active since September 17, 2021
12402 W SOLEDAD ST, EL MIRAGE, AZ 85335(623) 262-8239 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Active Integrated Health NPPES

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

ACTIVE INTEGRATED HEALTH (NPI 1366112609) is a healthcare organization registered as a mental health (including community mental health center) in El Mirage, Arizona and active in the NPI registry since September 2021. The organization maintains 2 additional practice locations and lists Bryce Bellue, Part Owner, as its authorized official.

NPPES Registry Identity

NPI1366112609
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameACTIVE INTEGRATED HEALTH
Location Address12402 W SOLEDAD STEl Mirage, AZ 85335-7244
Mailing Address12402 W Soledad StEl Mirage, AZ 85335-7244
Organization SubpartNo
Authorized OfficialBryce BelluePart Owner · (623) 505-8198
Enumeration DateSeptember 17, 2021
NPPES CertifiedSeptember 15, 2021
NPI 1366112609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
12402 W SOLEDAD ST, El Mirage, AZ 85335

Secondary Practice Locations 2

Location 113307 W Gelding DrSurprise, AZ 85379-6488 · Phone (623) 505-8198
Location 213007 N 55th DrGlendale, AZ 85304-1224 · Phone (623) 313-3206

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 Active Integrated Health's NPI number?

The NPI number for Active Integrated Health is 1366112609. It was assigned to this organization in the NPPES registry on September 17, 2021.

Where is Active Integrated Health located?

Active Integrated Health is located at 12402 W Soledad St, El Mirage, AZ 85335. The listed phone number is (623) 262-8239.

What is Active Integrated Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Active Integrated Health was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.