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CONVICTED COMEBACK
NPI 1619835204
Community/Behavioral Health in Glendale, AZ

Active since January 12, 2026
5955 W PEORIA AVE UNIT 5343, GLENDALE, AZ 85312(623) 309-0052 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Convicted Comeback NPPES

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

CONVICTED COMEBACK (NPI 1619835204) is a healthcare organization registered as a community/behavioral health in Glendale, Arizona and active in the NPI registry since January 2026. The organization lists Kristin Kline, Co Founder, as its authorized official.

NPPES Registry Identity

NPI1619835204
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCONVICTED COMEBACK
Location Address5955 W PEORIA AVE UNIT 5343Glendale, AZ 85312-1015
Mailing Address5955 W Peoria Ave Unit 5343Glendale, AZ 85312-1015 · (623) 309-0052
Phone(623) 309-0052
Organization SubpartNo
Authorized OfficialKristin KlineCo Founder · (623) 309-0052
Enumeration DateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
✔ NPI 1619835204 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.

5955 W PEORIA AVE UNIT 5343, Glendale, AZ 85312
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Frequently Asked Questions

What is CONVICTED COMEBACK's NPI number?

The NPI number assigned to this healthcare provider is 1619835204, enumerated as an "organization" on January 12, 2026.

Where is the provider located?

The provider is located at 5955 W PEORIA AVE UNIT 5343 GLENDALE, AZ 85312 and the phone number is (623) 309-0052.

What is the provider's specialty?

Community/Behavioral Health with taxonomy code 251S00000X.