ARIZONA CHILDRENS THERAPY CENTER LLC NPI 1023432465

NPI Information

NPI: 1023432465
Provider Name: ARIZONA CHILDRENS THERAPY CENTER LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
7545 W REDBIRD RD
PEORIA, AZ
ZIP 85383
Phone: (480) 510-1599
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ARIZONA CHILDRENS THERAPY CENTER LLC is a psychiatric/mental health nurse practitioner in Peoria, AZ. ARIZONA CHILDRENS THERAPY CENTER LLC NPI is 1023432465. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7545 W REDBIRD RD
PEORIA, AZ
ZIP 85383-253
Phone: (480) 510-1599
Fax: (623) 258-4136

The provider's authorized official is Roy Evans .
The authorized official title is Partner and has the following contact phone number (480) 510-1599.

The enumeration date for this NPI number is 2/5/2014 and was last updated on 11/21/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC2200X	Psychologist	Clinical Child & Adolescent		ARIZONA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP5146	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	868036	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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