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LIGHTHOUSE PSYCHIATRY LLC NPI 1326596719


NPI Information

NPI: 1326596719
Provider Name: LIGHTHOUSE PSYCHIATRY LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
4001 E BASELINE RD
SUITE B-7
GILBERT, AZ
ZIP 85234
Phone: (480) 565-6440
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LIGHTHOUSE PSYCHIATRY LLC is a psychiatry psychiatry neurology in Gilbert, AZ. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. LIGHTHOUSE PSYCHIATRY LLC NPI is 1326596719. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4001 E BASELINE RD
SUITE B-7
GILBERT, AZ
ZIP 85234-726
Phone: (480) 565-6440
Fax: (480) 454-1085

The provider's authorized official is Connie Decker .
The authorized official title is Credentialing Manage and has the following contact phone number (480) 269-2971.

The enumeration date for this NPI number is 9/14/2016 and was last updated on 5/17/2022.


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
11041C0700XSocial WorkerClinicalNo
2207Q00000XFamily MedicineNo
3207QA0401XFamily MedicineAddiction MedicineNo
4207R00000XInternal MedicineNo
5207RA0401XInternal MedicineAddiction MedicineNo
6208000000XPediatricsNo
72080A0000XPediatricsAdolescent MedicineNo
8363L00000XNurse PractitionerNo
9363LF0000XNurse PractitionerFamilyNo
10363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
11363LP2300XNurse PractitionerPrimary CareNo
122084P0800XPsychiatry & NeurologyPsychiatryYes

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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