CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC
NPI 1326585662
Internal Medicine - Addiction Medicine in Phoenix, AZ

Q: What is Cleanslate Medical Group Of Arizona PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Active since January 25, 2017

8410 W THOMAS, PHOENIX, AZ 85037(413) 584-2173 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 2, 2019, Apr 10, 2017, Jan 25, 2017 (3 updates tracked since 2017).

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About Cleanslate Medical Group Of Arizona Pllc NPPES

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

CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC (NPI 1326585662) is a healthcare organization registered as an addiction medicine in Phoenix, Arizona and active in the NPI registry since January 2017. The organization lists Robert Hutchison, Cfo, as its authorized official.

NPPES Registry Identity

NPI1326585662

Entity TypeOrganization

Primary Taxonomy207RA0401X

Legal Business NameCLEANSLATE MEDICAL GROUP OF ARIZONA PLLC

Location Address8410 W THOMASPhoenix, AZ 85037

Mailing Address15 Century Blvd Ste 307Nashville, TN 37214-3692 · (615) 425-0220

Phone(413) 584-2173

Organization SubpartNo

Authorized OfficialRobert HutchisonCfo · (615) 425-0220

Enumeration DateJanuary 25, 2017

Last NPPES UpdateJuly 2, 20193 updates tracked since enumeration

✔ NPI 1326585662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

8410 W THOMAS, Phoenix, AZ 85037

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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 Cleanslate Medical Group Of Arizona PLLC's NPI number?

The NPI number for Cleanslate Medical Group Of Arizona PLLC is 1326585662. It was assigned to this organization in the NPPES registry on January 25, 2017.

Where is Cleanslate Medical Group Of Arizona PLLC located?

Cleanslate Medical Group Of Arizona PLLC is located at 8410 W Thomas, Phoenix, AZ 85037. The listed phone number is (413) 584-2173.

What is Cleanslate Medical Group Of Arizona PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

What insurance does Cleanslate Medical Group Of Arizona PLLC accept?

Health plans from Ambetter from Arizona Complete Health list Cleanslate Medical Group Of Arizona PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cleanslate Medical Group Of Arizona PLLC was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.