CENTIA HEALTH LLC NPI 1972121218

NPI Information

NPI: 1972121218
Provider Name: CENTIA HEALTH LLC

Doing Business As: CENTIA HEALTH LLC

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
11225 N 28TH DR STE D220B
PHOENIX, AZ
ZIP 85029
Phone: (623) 518-1025
Get Directions

CENTIA HEALTH LLC is a psychiatric/mental health nurse practitioner in Phoenix, AZ. CENTIA HEALTH LLC NPI is 1972121218. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Centia Health Llc.

The provider's business location address is:

11225 N 28TH DR STE D220B
PHOENIX, AZ
ZIP 85029-697
Phone: (623) 518-1025
Fax: (623) 666-6655

The provider's authorized official is Sosunmolu Opeyemi Shoyinka .
The authorized official title is Founder, Chief Medical Officer and has the following contact phone number (236) 842-4328.

The enumeration date for this NPI number is 7/13/2020 and was last updated on 8/4/2021.

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	2084P0800X	Psychiatry & Neurology	Psychiatry			No
2	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	550	OTHER		NONE

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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