PHOENIX RISE
NPI 1922559624
Community/Behavioral Health in Phoenix, AZ

NPI Status: Active since October 18, 2016

Contact Information

1125 W JACKSON ST
PHOENIX, AZ
ZIP 85007
Phone: (480) 831-7566

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  • Organization
  • Community/Behavioral Health
  • Accepts Insurance

About PHOENIX RISE

This page provides the complete NPI Profile along with additional information for Phoenix Rise, a provider established in Phoenix, Arizona operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1922559624 assigned on October 2016. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Phoenix Rise. The authorized official of this NPI record is John Hogeboom (President/ceo)

NPI
1922559624
Provider Legal Name
COMMUNITY BRIDGES, INC.
Other Organization Name
PHOENIX RISE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1125 W JACKSON ST PHOENIX, AZ 85007
Location Phone
(480) 831-7566
Mailing Address
1855 W BASELINE RD STE. #101 MESA, AZ 85202
Mailing Phone
(480) 831-7566
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-18-2016
Last Update Date
01-13-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251B00000XAgencies

Case Management

 
2343900000XTransportation Services

Non-emergency Medical Transport (VAN)

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • BannerAetna Bronze 2 HSA: No PCP required + 98point6 virtual care 24/7 - HMO
  • BannerAetna Bronze 4: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Bronze 4: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Bronze S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold 10: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental +Vision - HMO
  • Blue ACA StandardHealth Silver with Health Choice - HMO
  • Blue AdvanceHealth Bronze - Neighborhood Network - HMO
  • Blue AdvanceHealth Bronze - PimaFocus Network - HMO
  • Blue AdvanceHealth Gold - Neighborhood Network - HMO
  • Blue AdvanceHealth Gold - PimaFocus Network - HMO
  • Blue AdvanceHealth Silver - Neighborhood Network - HMO
  • Blue AdvanceHealth Silver - PimaFocus Network - HMO
  • Blue EverydayHealth Gold - Neighborhood Network - HMO
  • Blue EverydayHealth Gold - PimaFocus Network - HMO
  • Blue EverydayHealth Silver - Neighborhood Network - HMO
  • Imperial Preferred Gold - HMO
  • Imperial Preferred Silver - HMO
  • Imperial Standard Bronze - HMO
  • Imperial Standard Gold - HMO
  • Imperial Standard Silver - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN HOGEBOOM

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(480) 831-7566

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
OTC9247OTHER (01)AZADHS

Reviews for PHOENIX RISE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922559624
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29421051864
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 1 + 0 + 5 + 1 + 8 + 6 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1922559624 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497260426CIRCLE THE CITY
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))1125 W JACKSON ST
PHOENIX, AZ 85007
(602) 776-0776
1750906111 LISA RENEE CHANDLER LCSW
Individual
Social Worker (Clinical)1125 W JACKSON ST
PHOENIX, AZ 85007
(480) 392-7630
1336998798 MAURA ALLEN LPC
Individual
Counselor (Professional)1125 W JACKSON ST
PHOENIX, AZ 85007
(602) 407-6299

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922559624, enumerated in the NPI registry as an "organization" on October 18, 2016

The provider is located at 1125 W Jackson St Phoenix, Az 85007 and the phone number is (480) 831-7566

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Ambetter from Arizona Complete Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 18, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.