=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043146756
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PHOENIX ETHICS CONSULTING, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/20/2026
-----------------------------------------------------
Last Update Date | 06/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3905 N 7TH AVE UNIT 33232
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85067-2612
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 623-715-2301
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 33232
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85067-3232
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 623-715-2301
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRINCIPAL AND MANAGING MEMBER
-----------------------------------------------------
Name | MR. JONATHAN DAVID CRAIG-MENDES
-----------------------------------------------------
Credential | JD, MBA, HEC-C
-----------------------------------------------------
Telephone | 623-715-2301
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 209800000X
-----------------------------------------------------
Taxonomy Name | Legal Medicine (M.D./D.O.) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 174V00000X
-----------------------------------------------------
Taxonomy Name | Clinical Ethicist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------