OrganizationActive
Potters Place, LLC
NPI 1306174115 · Community/Behavioral Health Agency · Phoenix, AZ
Potters Place, LLC is a Community/Behavioral Health Agency organization in Phoenix, AZ (NPI 1306174115).
Provider details
- NPI number
- 1306174115
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Ardell Daniels, Assistant Executive Officer(623) 848-0629
- License
- BH3284 (AZ)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8629 W Roanoke Ave
Phoenix, AZ 85037-3519
Phone: (623) 848-0629
Fax: (623) 873-6127
Street-level locationGet directions
Mailing address
8629 W Roanoke Ave
Phoenix, AZ 85037-3519
Registry dates
- Enumerated
- 2009-12-07
- Last updated
- 2009-12-07
Frequently asked questions
- What is Potters Place, LLC's NPI number?
- Potters Place, LLC's National Provider Identifier (NPI) is 1306174115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Potters Place, LLC?
- Potters Place, LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Potters Place, LLC located?
- Potters Place, LLC's practice location on file with NPPES is 8629 W Roanoke Ave, Phoenix, AZ 85037-3519.
- What is Potters Place, LLC's phone number?
- The practice phone number listed in the NPPES registry for Potters Place, LLC is (623) 848-0629.
- Who is the authorized official for Potters Place, LLC?
- The authorized official listed on Potters Place, LLC's NPPES record is Ardell Daniels, Assistant Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Potters Place, LLC's NPI active?
- Yes — Potters Place, LLC's NPI (1306174115) is active in the NPPES registry as of the last update on 2009-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.