MIDDLEGROUND WELLNESS CENTER LLC NPI 1558084210

NPI Information

  • NPI: 1558084210
  • Provider Name: MIDDLEGROUND WELLNESS CENTER LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 1660 S ALMA SCHOOL RD STE 21
    MESA, AZ
    ZIP 85210
  • Phone: (480) 277-8167

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NPI Details

MIDDLEGROUND WELLNESS CENTER LLC is a community behavioral health in Mesa, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MIDDLEGROUND WELLNESS CENTER LLC NPI is 1558084210. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1660 S ALMA SCHOOL RD STE 21
MESA, AZ
ZIP 85210-069
Phone: (480) 277-8167

The provider's authorized official is John Kabata .
The authorized official title is Owner and has the following contact phone number (480) 277-8167.

The enumeration date for this NPI number is 9/19/2022 and was last updated on 9/19/2022.

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
1364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthNo
2251S00000XCommunity/Behavioral 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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