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COPPER SPRINGS HOSPITAL PHYSICIAN GROUP LLC NPI 1700238318


NPI Information

NPI: 1700238318
Provider Name: COPPER SPRINGS HOSPITAL PHYSICIAN GROUP LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 03D2109828

Address:
10550 W MCDOWELL RD
AVONDALE, AZ
ZIP 85392
Phone: (480) 565-3035
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COPPER SPRINGS HOSPITAL PHYSICIAN GROUP LLC is a psychiatry psychiatry neurology in Avondale, AZ. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. COPPER SPRINGS HOSPITAL PHYSICIAN GROUP LLC NPI is 1700238318. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10550 W MCDOWELL RD
AVONDALE, AZ
ZIP 85392-864
Phone: (480) 565-3035

The provider's authorized official is Greg Miller .
The authorized official title is Evo - Cfo and has the following contact phone number (412) 588-3546.

The CLIA number assigned to this NPI record is 03D2109828 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2016 and was last updated on 5/20/2020.


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
1208D00000XGeneral PracticeNo
22084P0800XPsychiatry & NeurologyPsychiatryYes

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
1237571MEDICAIDARIZONA

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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