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REDEMPTION PSYCHIATRY LLC NPI 1811360316


NPI Information

NPI: 1811360316
Provider Name: REDEMPTION PSYCHIATRY LLC
Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

CLIA Number: 03D2111407

Address:
2730 S VAL VISTA DR STE 137
GILBERT, AZ
ZIP 85295
Phone: (480) 471-8560
Get Directions

REDEMPTION PSYCHIATRY LLC is a clinical child and adolescent psychologist in Gilbert, AZ. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. REDEMPTION PSYCHIATRY LLC NPI is 1811360316. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2730 S VAL VISTA DR STE 137
GILBERT, AZ
ZIP 85295-681
Phone: (480) 471-8560
Fax: (888) 979-8197

The provider's authorized official is Andrew Thomas Fitzgerald .
The authorized official title is Business Manager and has the following contact phone number (480) 471-8560.

The CLIA number assigned to this NPI record is 03D2111407 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2015 and was last updated on 11/5/2015.


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
1103TC2200XPsychologistClinical Child & AdolescentYes

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

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