PRESTIGE PSYCHIATRIC PROFESSIONALS LLC NPI 1437682614

NPI Information

NPI: 1437682614
Provider Name: PRESTIGE PSYCHIATRIC PROFESSIONALS, LLC

Doing Business As: PRESTIGE PSYCHIATRIC PROFESSIONALS

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
8414 E SHEA BLVD
SUITE 102
SCOTTSDALE, AZ
ZIP 85260
Phone: (602) 910-6519
Get Directions

PRESTIGE PSYCHIATRIC PROFESSIONALS, LLC is a psychiatric/mental health nurse practitioner in Scottsdale, AZ. PRESTIGE PSYCHIATRIC PROFESSIONALS, LLC NPI is 1437682614. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Prestige Psychiatric Professionals.

The provider's business location address is:

8414 E SHEA BLVD
SUITE 102
SCOTTSDALE, AZ
ZIP 85260-665
Phone: (602) 910-6519
Fax: (602) 910-6519

The provider's authorized official is Paul Eric Larralde .
The authorized official title is Member and has the following contact phone number (602) 910-6519.

The enumeration date for this NPI number is 4/5/2017 and was last updated on 4/5/2017.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LISAC-11647	ARIZONA	No
2	101YP2500X	Counselor	Professional	LPC-11774	ARIZONA	No
3	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN147893	ARIZONA	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP5217	ARIZONA	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: 11/14/2023

NPI Synchronization or Removal

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