RD PSYCHE PLLC NPI 1245028745

NPI Information

  • NPI: 1245028745
  • Provider Name: RD PSYCHE PLLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 5310 W THUNDERBIRD RD STE 202
    GLENDALE, AZ
    ZIP 85306
  • Phone: (623) 301-9992

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NPI Details

RD PSYCHE PLLC is a multi-specialty clinic center in Glendale, AZ. RD PSYCHE PLLC NPI is 1245028745. The provider is registered as an organization entity type.

The provider's business location address is:

5310 W THUNDERBIRD RD STE 202
GLENDALE, AZ
ZIP 85306-712
Phone: (623) 301-9992
Fax: (623) 432-7006

The provider's authorized official is Malar Kuppan .
The authorized official title is Owner & Provider and has the following contact phone number (623) 261-5258.

The enumeration date for this NPI number is 4/25/2025 and was last updated on 4/25/2025.

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
1261Q00000XClinic/CenterNo
2261QM1300XClinic/CenterMulti-SpecialtyYes
3363LA2100XNurse PractitionerAcute CareNo
4363LA2200XNurse PractitionerAdult HealthNo
5363LG0600XNurse PractitionerGerontologyNo
6363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

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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