PARADIGM MENTAL HEALTH AND WELLNESS LLC NPI 1073147716

NPI Information

NPI: 1073147716
Provider Name: PARADIGM MENTAL HEALTH AND WELLNESS LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
724 S CENTRAL AVE STE 101D
MEDFORD, OR
ZIP 97501
Phone: (541) 324-7171
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PARADIGM MENTAL HEALTH AND WELLNESS LLC is a psychiatric/mental health nurse practitioner in Medford, OR. PARADIGM MENTAL HEALTH AND WELLNESS LLC NPI is 1073147716. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

724 S CENTRAL AVE STE 101D
MEDFORD, OR
ZIP 97501-808
Phone: (541) 324-7171

The provider's authorized official is Paul Fickes .
The authorized official title is Owner and has the following contact phone number (541) 324-7171.

The enumeration date for this NPI number is 3/2/2020 and was last updated on 5/5/2021.

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	Primary
1	101YP2500X	Counselor	Professional	No
2	1041C0700X	Social Worker	Clinical	No
3	207Q00000X	Family Medicine		No
4	207RA0401X	Internal Medicine	Addiction Medicine	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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