MIND-BODY CONNECTIONS NPI 1962173252

NPI Information

NPI: 1962173252
Provider Name: MIND-BODY CONNECTIONS

Other Name: MIND-BODY CONNECTIONS

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
2227 W BASELINE RD STE 103
TEMPE, AZ
ZIP 85283
Phone: (602) 980-8703
Get Directions

MIND-BODY CONNECTIONS is a psychiatric/mental health nurse practitioner in Tempe, AZ. MIND-BODY CONNECTIONS NPI is 1962173252. The provider is registered as an organization entity type.
The provider Other Name Is Mind-body Connections.

The provider's business location address is:

2227 W BASELINE RD STE 103
TEMPE, AZ
ZIP 85283-250
Phone: (602) 980-8703
Fax: (602) 962-4108

The provider's authorized official is Dorothy C Igwe .
The authorized official title is Nurse Practitioner and has the following contact phone number (623) 217-0385.

The CLIA number assigned to this NPI record is 03D2298273 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2021 and was last updated on 6/27/2023.

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	Primary
1	261QP2300X	Clinic/Center	Primary Care	No
2	363L00000X	Nurse Practitioner		No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	106503	MEDICAID	ARIZONA

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: 5/5/2024

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