PEAK BRAIN CLINIC NPI 1871276774

NPI Information

  • NPI: 1871276774
  • Provider Name: PEAK BRAIN CLINIC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 4111 E VALLEY AUTO DRIVE
    SUITE 101, RM9
    MESA, AZ
    ZIP 85206
  • Phone: (480) 788-7254

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NPI Details

PEAK BRAIN CLINIC is a mental health counselor in Mesa, AZ. PEAK BRAIN CLINIC NPI is 1871276774. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4111 E VALLEY AUTO DRIVE
SUITE 101, RM9
MESA, AZ
ZIP 85206
Phone: (480) 788-7254

The provider's authorized official is Maryam Goudarzi .
The authorized official title is Ceo and has the following contact phone number (310) 853-2939.

The enumeration date for this NPI number is 8/8/2023 and was last updated on 8/8/2023.

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
1101YM0800XCounselorMental 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: 11/21/2025

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