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REDEMPTION PSYCHIATRY LLC NPI 1053757278


NPI Information

NPI: 1053757278
Provider Name: REDEMPTION PSYCHIATRY, LLC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

CLIA Number: 03D2138688

Address:
3489 E BASELINE ROAD
GILBERT, AZ
ZIP 85234
Phone: (480) 471-8560
Get Directions

REDEMPTION PSYCHIATRY, LLC is a child and adolescent psychiatry psychiatry neurology in Gilbert, AZ. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. REDEMPTION PSYCHIATRY, LLC NPI is 1053757278. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3489 E BASELINE ROAD
GILBERT, AZ
ZIP 85234
Phone: (480) 471-8560
Fax: (888) 979-8197

The provider's authorized official is Jason W Friday .
The authorized official title is Medical Director and has the following contact phone number (480) 471-8560.

The CLIA number assigned to this NPI record is 03D2138688 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2013 and was last updated on 1/19/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryNo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

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: 4/28/2024

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