UNIVERSITY OF ARIZONA RISE
NPI 1063656304
Community/Behavioral Health in Tucson, AZ

NPI Status: Active since April 30, 2009

Contact Information

1030 N ALVERNON WAY
TUCSON, AZ
ZIP 85711
Phone: (520) 621-7473
Fax: (520) 621-6663

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  • Organization
  • Community/Behavioral Health

About UNIVERSITY OF ARIZONA RISE

This page provides the complete NPI Profile along with additional information for University Of Arizona Rise, a provider established in Tucson, Arizona operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1063656304 assigned on April 2009. The practitioner's primary taxonomy code is 251S00000X with license number CSA09ADHA0204 (AZ). The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Randa M Kutob Md (Medical Director)

NPI
1063656304
Provider Name
UNIVERSITY OF ARIZONA RISE
Entity Type
Organization
Location Address
1030 N ALVERNON WAY TUCSON, AZ 85711
Location Phone
(520) 621-7473
Location Fax
(520) 621-6663
Mailing Address
1030 N ALVERNON WAY TUCSON, AZ 85711
Mailing Phone
(520) 621-7473
Mailing Fax
(520) 621-6663
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-30-2009
Last Update Date
04-17-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
CSA09ADHA0204
License State
AZ
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RANDA M KUTOB MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(520) 621-7473

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CSA09ADHS0204MEDICAID (05)AZ 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063656304, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 2 + 5 + 1 + 2 + 3 + 0 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1063656304.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community/Behavioral Health
1030 N ALVERNON WAY
TUCSON, AZ 85711

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063656304, enumerated as an "organization" on April 30, 2009.

The provider is located at 1030 N ALVERNON WAY TUCSON, AZ 85711 and the phone number is (520) 621-7473.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.