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CANYONLANDS COMMUNITY HEALTHCARE - BH NPI 1558609222


NPI Information

NPI: 1558609222
Provider Name: CANYONLANDS COMMUNITY HEALTHCARE - BH
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
467 VISTA AVENUE
PAGE, AZ
ZIP 86040
Phone: (928) 645-9675
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CANYONLANDS COMMUNITY HEALTHCARE - BH is a clinical psychologist in Page, AZ. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. CANYONLANDS COMMUNITY HEALTHCARE - BH NPI is 1558609222. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

467 VISTA AVENUE
PAGE, AZ
ZIP 86040
Phone: (928) 645-9675

The provider's authorized official is Elizabeth G Latham .
The authorized official title is Ceo and has the following contact phone number (928) 645-9675.

The enumeration date for this NPI number is 1/30/2013 and was last updated on 1/30/2013.


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
1101YM0800XCounselorMental HealthBH-4088ARIZONANo
2103TP0016XPsychologistPrescribing (Medical)BH-4088ARIZONANo
3103TP2701XPsychologistGroup PsychotherapyBH-4088ARIZONANo
4103TC0700XPsychologistClinicalBH-4088ARIZONAYes

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
1432857MEDICAIDARIZONA
2031811MEDICARE OSCAR/CERTIFICATIONARIZONA
3CSO184MEDICARE PINARIZONA

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

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