INSIGHT-THERAPY AZ NPI 1003447301

Community/Behavioral Health in Phoenix, AZ

Organization Community/Behavioral Health

About INSIGHT-THERAPY AZ

Insight-therapy Az is a provider established in Phoenix, Arizona specializing in community/behavioral health. The NPI number of Insight-therapy Az is 1003447301 and was assigned on January 2020. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated January 2020. The authorized official of this NPI record is Ms. Kristy N Anderson Lpc#14074 (Owner Operator)

NPI

1003447301

Provider NameINSIGHT-THERAPY AZ
Provider Location Address4545 E SHEA BLVD STE 235 PHOENIX, AZ 85028
Provider Mailing Address1550 E THUNDERBIRD RD APT 1006 PHOENIX, AZ 85022
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-27-2020
Last Update Date01-27-2020

Primary Taxonomy

Taxonomy Code251S00000X
ClassificationCommunity/Behavioral Health
TypeAgencies
Taxonomy DescriptionA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Business Address

INSIGHT-THERAPY AZ
4545 E SHEA BLVD STE 235
PHOENIX, AZ
ZIP 85028
Phone: (602) 315-4068
Fax: (602) 675-2705

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Mailing Address

INSIGHT-THERAPY AZ
1550 E THUNDERBIRD RD APT 1006
PHOENIX, AZ
ZIP 85022
Phone: (602) 315-4068
Fax: (602) 675-2705

Authorized Official

Authorized Official NameMS. KRISTY N ANDERSON LPC#14074
Authorized Official TitleOWNER OPERATOR
Authorized Official Phone(602) 315-4068

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265703177 SHARON E SUDOL MA, LPC
Individual
Counselor (Mental Health)4545 E SHEA BLVD STE 235
PHOENIX, AZ 85028
(480) 999-9999
1962485250MS. CYNTHIA A CRISS LPC,
Individual
Counselor (Professional)4545 E SHEA BLVD STE 235
PHOENIX, AZ 85028
(602) 677-3557

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.