PLATINUM WELLNESS INC. NPI 1053281162

NPI Information

  • NPI: 1053281162
  • Provider Name: PLATINUM WELLNESS, INC.
  • Classification: Psychologist - 103TA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 2720 E THOMAS RD STE 190B
    PHOENIX, AZ
    ZIP 85016
  • Phone: (323) 251-7313

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NPI Details

PLATINUM WELLNESS, INC. is an addiction (substance use disorder) psychologist in Phoenix, AZ. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. PLATINUM WELLNESS, INC. NPI is 1053281162. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2720 E THOMAS RD STE 190B
PHOENIX, AZ
ZIP 85016-251
Phone: (323) 251-7313

The provider's authorized official is Siraje Kakooza .
The authorized official title is Chief Executive Officer and has the following contact phone number (323) 251-7313.

The enumeration date for this NPI number is 11/5/2025 and was last updated on 11/5/2025.

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
1103TA0400XPsychologistAddiction (Substance Use Disorder)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: 11/21/2025

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