Provider Type Icon

ARIZONA INTERGRATED TELE PSYCHIATRY AND TELE MEDICINE SERVICES LLC NPI 1629554126


NPI Information

NPI: 1629554126
Provider Name: ARIZONA INTERGRATED TELE PSYCHIATRY AND TELE MEDICINE SERVICES LLC

Doing Business As: AZITTS

Classification: Clinical Nurse Specialist - 364SF0001X
Entity Type: Organization

Specialization: Family Health

CLIA Number: 03D2288851

Address:
2729 E MAIN ST STE 101-102
MESA, AZ
ZIP 85213
Phone: (480) 867-1722
Get Directions

ARIZONA INTERGRATED TELE PSYCHIATRY AND TELE MEDICINE SERVICES LLC is a family health clinical nurse specialist in Mesa, AZ. ARIZONA INTERGRATED TELE PSYCHIATRY AND TELE MEDICINE SERVICES LLC NPI is 1629554126. The provider is registered as an organization entity type.
The provider Is Doing Business As Azitts.

The provider's business location address is:

2729 E MAIN ST STE 101-102
MESA, AZ
ZIP 85213-228
Phone: (480) 867-1722
Fax: (480) 867-1709

The provider's authorized official is Medina Kamau .
The authorized official title is Provider and has the following contact phone number (480) 867-1722.

The CLIA number assigned to this NPI record is 03D2288851 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2018 and was last updated on 4/16/2024.


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
1261QM0850XClinic/CenterAdult Mental HealthNo
2364SF0001XClinical Nurse SpecialistFamily 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.