RUSSELL APPLETON NPI 1386380996

NPI Information

NPI: 1386380996
Provider Name: RUSSELL APPLETON
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Individual
Address:
1121 N OLIVE AVE
CASA GRANDE, AZ
ZIP 85122
Phone: (602) 618-3756
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Russell Appleton is a community based residential treatment facility mental illness in Casa Grande, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. Russell Appleton NPI is 1386380996. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1121 N OLIVE AVE
CASA GRANDE, AZ
ZIP 85122-418
Phone: (602) 618-3756

The enumeration date for this NPI number is 5/6/2022 and was last updated on 5/6/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	BH7438	ARIZONA	No
2	101YP2500X	Counselor	Professional	BH7438	ARIZONA	No
3	1041C0700X	Social Worker	Clinical	BH7438	ARIZONA	No
4	261QM0850X	Clinic/Center	Adult Mental Health	BH7438		No
5	323P00000X	Psychiatric Residential Treatment Facility		BH7438	ARIZONA	No
6	320800000X	Community Based Residential Treatment Facility, Mental Illness		BH7438	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	BH7438	OTHER	ARIZONA	DHS - LICENSE FOR BHRF

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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