KAIROS MOMENT HEALTHCARE AND BEHAVIORAL CLINIC
NPI 1457130676
Clinic/Center - Mental Health (Including Community Mental Health Center) in Peoria, AZ

Q: What is Kairos Moment Healthcare And Behavioral Clinic - LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since September 26, 2023

9652 W PATRICK LN, PEORIA, AZ 85383(602) 410-0958 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kairos Moment Healthcare And Behavioral Clinic NPPES

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

KAIROS MOMENT HEALTHCARE AND BEHAVIORAL CLINIC (NPI 1457130676) is a healthcare organization registered as a mental health (including community mental health center) in Peoria, Arizona and active in the NPI registry since September 2023. The organization lists Adesola Izasomeh, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1457130676

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameKAIROS MOMENT HEALTHCARE AND BEHAVIORAL CLINIC - LLC

Location Address9652 W PATRICK LNPeoria, AZ 85383-4319

Mailing Address9652 W Patrick LnPeoria, AZ 85383-4319 · (602) 410-0958

Phone(602) 410-0958

Organization SubpartNo

Authorized OfficialAdesola IzasomehNurse Practitioner · (602) 410-0958

Enumeration DateSeptember 26, 2023

Last NPPES UpdateOctober 28, 2024

NPPES CertifiedOctober 22, 2024

✔ NPI 1457130676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

9652 W PATRICK LN, Peoria, AZ 85383

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Other Names 1

Doing Business AsKairos Moment Healthcare And Behavioral Clinic

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 Kairos Moment Healthcare And Behavioral Clinic - LLC's NPI number?

The NPI number for Kairos Moment Healthcare And Behavioral Clinic - LLC is 1457130676. It was assigned to this organization in the NPPES registry on September 26, 2023. The provider is doing business as Kairos Moment Healthcare And Behavioral Clinic.

Where is Kairos Moment Healthcare And Behavioral Clinic - LLC located?

Kairos Moment Healthcare And Behavioral Clinic - LLC is located at 9652 W Patrick Ln, Peoria, AZ 85383. The listed phone number is (602) 410-0958.

What is Kairos Moment Healthcare And Behavioral Clinic - LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Kairos Moment Healthcare And Behavioral Clinic - LLC was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.