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MATRIX MENTAL HEALTH LLC NPI 1427779461


NPI Information

NPI: 1427779461
Provider Name: MATRIX MENTAL HEALTH LLC

Doing Business As: MATRIX MENTAL HEALTH

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1846 E INNOVATION PARK DR STE 100
ORO VALLEY, AZ
ZIP 85755
Phone: (602) 830-8400
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MATRIX MENTAL HEALTH LLC is a psychiatric/mental health nurse practitioner in Oro Valley, AZ. MATRIX MENTAL HEALTH LLC NPI is 1427779461. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Matrix Mental Health.

The provider's business location address is:

1846 E INNOVATION PARK DR STE 100
ORO VALLEY, AZ
ZIP 85755-963
Phone: (602) 830-8400
Fax: (602) 834-2100

The provider's authorized official is Vincent Ekstrom .
The authorized official title is Psychiatric Nurse Practitioner and has the following contact phone number (602) 489-9606.

The enumeration date for this NPI number is 9/8/2022 and was last updated on 3/13/2024.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental 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: 5/5/2024

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