FAMILY CARE CENTER, LLC
NPI 1598535288
Psychiatry & Neurology - Psychiatry in Mesa, AZ

Q: What is Family Care Center, LLC's NPI number?

The NPI number for Family Care Center, LLC is 1598535288. It was assigned to this organization in the NPPES registry on January 4, 2024.

Q: What is Family Care Center, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since January 04, 2024CLIA 03D2317646 · Waiver

1910 S STAPLEY DR STE 209, MESA, AZ 85204(719) 540-2100 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2024, Jan 4, 2024 (2 updates tracked since 2024).

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About Family Care Center, Llc NPPES

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

FAMILY CARE CENTER, LLC (NPI 1598535288) is a healthcare organization registered as a psychiatry in Mesa, Arizona and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through January 28, 2027 and lists Christian M Ellis, Provider Engagement & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1598535288

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameFAMILY CARE CENTER, LLC

Location Address1910 S STAPLEY DR STE 209Mesa, AZ 85204-6679

Mailing Address2860 S Circle Dr Ste 109Colorado Springs, CO 80906-4195 · (719) 540-2100

Phone(719) 540-2100

Organization SubpartNo

Authorized OfficialChristian M EllisProvider Engagement & Credentialing · (765) 540-2100

Enumeration DateJanuary 4, 2024

Last NPPES UpdateNovember 7, 20242 updates tracked since enumeration

NPPES CertifiedNovember 7, 2024

✔ NPI 1598535288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

1910 S STAPLEY DR STE 209, Mesa, AZ 85204

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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

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 03D2317646

Family Care Center · Mesa, AZ

Active · expires Jan 28, 2027

CLIA Number03D2317646

Laboratory TypeBehavioral Health Clinic

Certificate Effective DateJanuary 29, 2025

Certificate Expiration DateJanuary 28, 2027

Laboratory DirectorTracy Connor

Laboratory Phone(480) 351-8020

Laboratory LocationFamily Care Center1910 S Stapley Dr Ste 209, Mesa, AZ 85204

CLIA data matches this NPI record on: Address Name

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

Other Providers at the Same Location NPPES 12

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

REBECCA WIGTON MA, LPC

Counselor (Professional)