Provider Type Icon

ANASAZI FOUNDATION NPI 1497833644


NPI Information

NPI: 1497833644
Provider Name: ANASAZI FOUNDATION
Classification: Psychiatric Residential Treatment Facility - 323P00000X
Entity Type: Organization

CLIA Number: 03D2105177

Address:
1424 S STAPLEY DR
MESA, AZ
ZIP 85204
Phone: (800) 678-3445
Get Directions

ANASAZI FOUNDATION is a psychiatric residential treatment facility in Mesa, AZ. The provider is a residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary ANASAZI FOUNDATION NPI is 1497833644. The provider is registered as an organization entity type.

The provider's business location address is:

1424 S STAPLEY DR
MESA, AZ
ZIP 85204-877
Phone: (800) 678-3445

The provider's authorized official is Michael Merchant .
The authorized official title is Ceo President and has the following contact phone number (480) 892-7403.

The CLIA number assigned to this NPI record is 03D2105177 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 11/24/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityBH1130ARIZONANo
2323P00000XPsychiatric Residential Treatment FacilityBH1130ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.