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GENHEALTH NPI 1144799792


NPI Information

NPI: 1144799792
Provider Name: GENHEALTH
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 03D2240450

Address:
14441 W MCDOWELL RD STE B102
GOODYEAR, AZ
ZIP 85395
Phone: (480) 516-8037
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GENHEALTH is a psychiatry psychiatry neurology in Goodyear, AZ. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. GENHEALTH NPI is 1144799792. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14441 W MCDOWELL RD STE B102
GOODYEAR, AZ
ZIP 85395-519
Phone: (480) 516-8037
Fax: (480) 400-4383

The provider's authorized official is David Ross .
The authorized official title is Ceo and has the following contact phone number (480) 516-8037.

The CLIA number assigned to this NPI record is 03D2240450 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2018 and was last updated on 4/14/2021.


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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4101YP1600XCounselorPastoralNo
5103TP2701XPsychologistGroup PsychotherapyNo
6133N00000XNutritionistNo
7183500000XPharmacistNo
82084P0800XPsychiatry & NeurologyPsychiatryYes
92084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
102084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
11261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
12261QM0850XClinic/CenterAdult Mental HealthNo
13261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
14261QM1300XClinic/CenterMulti-SpecialtyNo
15363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1729400MEDICAIDARIZONA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.