SUPERIOR OUTPATIENT CENTER LLC
NPI 1487339123
Community/Behavioral Health in Phoenix, AZ

Active since June 20, 2023
3201 W PEORIA AVE STE B408, PHOENIX, AZ 85029(612) 306-0639 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Superior Outpatient Center Llc NPPES

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

SUPERIOR OUTPATIENT CENTER LLC (NPI 1487339123) is a healthcare organization registered as a community/behavioral health in Phoenix, Arizona and active in the NPI registry since June 2023. The organization lists Abdisaak Mohamud, Owner, as its authorized official.

NPPES Registry Identity

NPI1487339123
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSUPERIOR OUTPATIENT CENTER LLC
Location Address3201 W PEORIA AVE STE B408Phoenix, AZ 85029-4610
Mailing Address5545 W Walatowa StLaveen, AZ 85339-5498
Organization SubpartNo
Authorized OfficialAbdisaak MohamudOwner · (612) 306-0639
Enumeration DateJune 20, 2023
NPPES CertifiedJune 20, 2023
NPI 1487339123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
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.
3201 W PEORIA AVE STE B408, Phoenix, AZ 85029

Other Identifiers 1

OtherOTC12666AZ · Azdhs

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
3201 W PEORIA AVE STE B408
PHOENIX, AZ 85029
Physical Therapist
3201 W PEORIA AVE STE B408
PHOENIX, AZ 85029
Clinic/Center (Rehabilitation, Substance Use Disorder)
3201 W PEORIA AVE STE B408
PHOENIX, AZ 85029
Physical Therapist
3201 W PEORIA AVE STE B408
PHOENIX, AZ 85029

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 Superior Outpatient Center LLC's NPI number?

The NPI number for Superior Outpatient Center LLC is 1487339123. It was assigned to this organization in the NPPES registry on June 20, 2023.

Where is Superior Outpatient Center LLC located?

Superior Outpatient Center LLC is located at 3201 W Peoria Ave Ste B408, Phoenix, AZ 85029. The listed phone number is (612) 306-0639.

What is Superior Outpatient Center LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Superior Outpatient Center LLC was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.