TELEHEALTH ON THE GO NPI 1326643032

NPI Information

  • NPI: 1326643032
  • Provider Name: TELEHEALTH ON THE GO
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Former Legal Business Name: TELEHEALTH ON THE GO, PLLC
  • CLIA Number: 03D2205748
  • Address: 3104 E CAMELBACK RD
    PHOENIX, AZ
    ZIP 85016
  • Phone: (602) 699-5753

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NPI Details

TELEHEALTH ON THE GO is an adult mental health clinic center in Phoenix, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. TELEHEALTH ON THE GO NPI is 1326643032. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Telehealth On The Go, Pllc.

The provider's business location address is:

3104 E CAMELBACK RD
PHOENIX, AZ
ZIP 85016-502
Phone: (602) 699-5753

The provider's authorized official is Brianne Terrell .
The authorized official title is Psychiatric Nurse Practitioner and has the following contact phone number (602) 699-5753.

The CLIA number assigned to this NPI record is 03D2205748 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2020 and was last updated on 1/26/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes

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: 3/30/2025

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