MONSOON WELLNESS NPI 1073156352

NPI Information

NPI: 1073156352
Provider Name: MONSOON WELLNESS
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2320 E BASELINE RD STE 148-225
PHOENIX, AZ
ZIP 85042
Phone: (602) 635-8884
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MONSOON WELLNESS is a mental health (including community mental health center) clinic center in Phoenix, AZ. MONSOON WELLNESS NPI is 1073156352. The provider is registered as an organization entity type.

The provider's business location address is:

2320 E BASELINE RD STE 148-225
PHOENIX, AZ
ZIP 85042-960
Phone: (602) 635-8884

The provider's authorized official is Robert Murphy Portley .
The authorized official title is Psychiatrist and has the following contact phone number (602) 635-8884.

The enumeration date for this NPI number is 10/19/2019 and was last updated on 10/19/2019.

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	Primary
1	251B00000X	Case Management		No
2	251S00000X	Community/Behavioral Health		No
3	261QM0850X	Clinic/Center	Adult Mental Health	No
4	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
5	261QP2300X	Clinic/Center	Primary Care	No
6	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	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	357718	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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