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CHICANOS POR LA CAUSA INC. NPI 1386294437


NPI Information

NPI: 1386294437
Provider Name: CHICANOS POR LA CAUSA, INC.
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 03D2104914

Address:
6850 W INDIAN SCHOOL RD
PHOENIX, AZ
ZIP 85033
Phone: (623) 247-0464
Get Directions

CHICANOS POR LA CAUSA, INC. is a psychiatric/mental health nurse practitioner in Phoenix, AZ. CHICANOS POR LA CAUSA, INC. NPI is 1386294437. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6850 W INDIAN SCHOOL RD
PHOENIX, AZ
ZIP 85033-300
Phone: (623) 247-0464

The provider's authorized official is Pedro Cons .
The authorized official title is Executive Vice President and has the following contact phone number (602) 257-0700.

The CLIA number assigned to this NPI record is 03D2104914 - other - outpatient mh clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2019 and was last updated on 9/19/2019.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3171M00000XCase Manager/Care CoordinatorNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 5/5/2024

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