MEDICARE: JOSIES CENTER FOR WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QP2300X	Primary Care Clinic/Center
3	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1811837172
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSIES CENTER FOR WELLNESS

Provider Business Mailing Address
First Line	:	10240 N 31ST AVE STE 210B
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9565
Country	:	US
Telephone Number	:	602-258-0477
Fax Number	:

Provider Business Practice Location Address
First Line	:	10240 N 31ST AVE STE 210B
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9565
Country	:	US
Telephone Number	:	602-258-0477
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MICHAEL ANTHONY JOHNSON JR.
Credential	:
Telephone Number	:	480-934-3033

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

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Directions to “JOSIES CENTER FOR WELLNESS ” Practice Location

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