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ID SUBSTRATE, PLLC
NPI 1043930662
Counselor - Mental Health in Phoenix, AZ

Active since September 01, 2022
4500 N 32ND ST STE 100A, PHOENIX, AZ 85018(602) 200-8690(602) 264-8107 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Id Substrate, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ID SUBSTRATE, PLLC (NPI 1043930662) is a healthcare organization registered as a mental health in Phoenix, Arizona and active in the NPI registry since September 2022. The organization lists Dawn M Craig, Administrator, as its authorized official.

NPPES Registry Identity

NPI1043930662
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameID SUBSTRATE, PLLC
Location Address4500 N 32ND ST STE 100APhoenix, AZ 85018-3360
Mailing AddressPo Box 10044Phoenix, AZ 85064-0044 · (602) 405-4622 · Fax (602) 264-8107
Phone(602) 200-8690
Fax(602) 264-8107
Organization SubpartNo
Authorized OfficialDawn M CraigAdministrator · (602) 561-7806
Enumeration DateSeptember 1, 2022
NPPES CertifiedAugust 29, 2022
✔ NPI 1043930662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedPsychologist · ForensicTaxonomy 103TF0200X
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
4500 N 32ND ST STE 100A, Phoenix, AZ 85018
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Id Substrate, PLLC's NPI number?

The NPI number for Id Substrate, PLLC is 1043930662. It was assigned to this organization in the NPPES registry on September 1, 2022.

Where is Id Substrate, PLLC located?

Id Substrate, PLLC is located at 4500 N 32nd St Ste 100A, Phoenix, AZ 85018. The listed phone number is (602) 200-8690.

What is Id Substrate, PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Id Substrate, PLLC was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.