YOUR NEIGHBORHOOD HEALTHCARE CENTER NPI 1942764063

NPI Information

NPI: 1942764063
Provider Name: YOUR NEIGHBORHOOD HEALTHCARE CENTER

Other Name: EQUALITY HEALTH

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
4220 N 20TH AVE
PHOENIX, AZ
ZIP 85015
Phone: (602) 889-9401
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YOUR NEIGHBORHOOD HEALTHCARE CENTER is a psychiatric/mental health nurse practitioner in Phoenix, AZ. YOUR NEIGHBORHOOD HEALTHCARE CENTER NPI is 1942764063. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Equality Health.

The provider's business location address is:

4220 N 20TH AVE
PHOENIX, AZ
ZIP 85015-124
Phone: (602) 889-9401
Fax: (602) 889-9404

The provider's authorized official is Hector Reyes .
The authorized official title is Director Clinic Operations and has the following contact phone number (602) 889-9401.

The CLIA number assigned to this NPI record is 03D0717371 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2019 and was last updated on 1/29/2019.

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
1	101YP2500X	Counselor	Professional			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

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

NPI Synchronization or Removal

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