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NEWU BEHAVIORAL HEALTH & WELLNESS CLINIC PLLC NPI 1710539614


NPI Information

NPI: 1710539614
Provider Name: NEWU BEHAVIORAL HEALTH & WELLNESS CLINIC, PLLC

Former Legal Business Name: NEWU WEIGHTLOSS & WELLNESS CLINIC, PLLC

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
13354 WEST JOCOBSON DRIVE
LITCHFIELD PARK, AZ
ZIP 85340
Phone: (602) 697-6963
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NEWU BEHAVIORAL HEALTH & WELLNESS CLINIC, PLLC is a psychiatric/mental health nurse practitioner in Litchfield Park, AZ. NEWU BEHAVIORAL HEALTH & WELLNESS CLINIC, PLLC NPI is 1710539614. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Newu Weightloss & Wellness Clinic, Pllc.

The provider's business location address is:

13354 WEST JOCOBSON DRIVE
LITCHFIELD PARK, AZ
ZIP 85340-397
Phone: (602) 697-6963
Fax: (844) 628-1655

The provider's authorized official is Karen Marinos .
The authorized official title is Ma/ Office Manager and has the following contact phone number (602) 697-6963.

The enumeration date for this NPI number is 7/10/2019 and was last updated on 3/8/2024.


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
12083B0002XPreventive MedicineObesity MedicineNo
2261QM1300XClinic/CenterMulti-SpecialtyNo
3363L00000XNurse PractitionerNo
4363LF0000XNurse PractitionerFamilyNo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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
1Z193283MEDICAIDARIZONA
2Z201246MEDICAIDARIZONA
3139936MEDICAIDARIZONA
4160368MEDICAIDARIZONA

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.