SOUTHERN ARIZONA INTEGRATED MEDICINE, LLC
NPI 1477900348
Psychologist - Group Psychotherapy in Tucson, AZ

Q: What is Southern Arizona Integrated Medicine, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

Active since May 19, 2016CLIA 03D2119201 · Waiver

1604 N COUNTRY CLUB RD, TUCSON, AZ 85716(480) 315-1141 Get Directions Write a Review

NPPES record last updated: July 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Southern Arizona Integrated Medicine, Llc NPPES

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

SOUTHERN ARIZONA INTEGRATED MEDICINE, LLC (NPI 1477900348) is a healthcare organization registered as a group psychotherapy in Tucson, Arizona and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through September 20, 2026 and lists Charles Anderson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477900348

Entity TypeOrganization

Primary Taxonomy103TP2701X

Legal Business NameSOUTHERN ARIZONA INTEGRATED MEDICINE, LLC

Location Address1604 N COUNTRY CLUB RDTucson, AZ 85716-3119

Mailing Address10869 N Scottsdale Rd, Suite 103-195Scottsdale, AZ 85254-5280 · (480) 315-1141

Phone(480) 315-1141

Organization SubpartNo

Authorized OfficialCharles AndersonCeo · (480) 315-1141

Enumeration DateMay 19, 2016

Last NPPES UpdateJuly 27, 2016

✔ NPI 1477900348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Group PsychotherapyBehavioral Health & Social Service Providers

Taxonomy Code103TP2701X

Definition

A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

1604 N COUNTRY CLUB RD, Tucson, AZ 85716

Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2119201

Southern Arizona Integrated Medicine, LLC · Tucson, AZ

Active · expires Sep 20, 2026

CLIA Number03D2119201

Laboratory TypeMulti-Specialty Group

Certificate Effective DateSeptember 21, 2024

Certificate Expiration DateSeptember 20, 2026

Laboratory DirectorJohn Schmaling

Laboratory Phone(520) 203-8680

Laboratory LocationSouthern Arizona Integrated Medicine, LLC3655 E Second St, Tucson, AZ 85716

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAMIAN R PARKINSON MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)

1604 N COUNTRY CLUB RD
TUCSON, AZ 85716

Pima County (520) 296-4280

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 Southern Arizona Integrated Medicine, LLC's NPI number?

The NPI number for Southern Arizona Integrated Medicine, LLC is 1477900348. It was assigned to this organization in the NPPES registry on May 19, 2016.

Where is Southern Arizona Integrated Medicine, LLC located?

Southern Arizona Integrated Medicine, LLC is located at 1604 N Country Club Rd, Tucson, AZ 85716. The listed phone number is (480) 315-1141.

What is Southern Arizona Integrated Medicine, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

Does Southern Arizona Integrated Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2119201) is associated with this NPI, valid through September 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Arizona Integrated Medicine, LLC was last updated on July 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.