REBEL CARE PLLC
NPI 1295501625
Psychologist - Clinical in Phoenix, AZ

Q: What is Rebel Care PLLC's NPI number?

The NPI number for Rebel Care PLLC is 1295501625. It was assigned to this organization in the NPPES registry on November 27, 2023.

Q: What is Rebel Care PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Rebel Care PLLC was last updated on August 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 27, 2023

2 N CENTRAL AVE STE 1800, PHOENIX, AZ 85004(857) 756-7678 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Rebel Care Pllc NPPES

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

REBEL CARE PLLC (NPI 1295501625) is a healthcare organization registered as a clinical in Phoenix, Arizona and active in the NPI registry since November 2023. The organization lists Kusum Jagdish Chanrai, General Manager, as its authorized official.

NPPES Registry Identity

NPI1295501625

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameREBEL CARE PLLC

Location Address2 N CENTRAL AVE STE 1800Phoenix, AZ 85004-2139

Mailing Address2 N Central Ave Ste 1800Phoenix, AZ 85004-2139 · (857) 756-7678

Phone(857) 756-7678

Organization SubpartNo

Authorized OfficialKusum Jagdish ChanraiGeneral Manager · (857) 756-7678

Enumeration DateNovember 27, 2023

Last NPPES UpdateAugust 8, 2024

NPPES CertifiedAugust 8, 2024

✔ NPI 1295501625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2 N CENTRAL AVE STE 1800, Phoenix, AZ 85004

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