ROYAL OUTPATIENT CLINIC LLC
NPI 1689390734
Clinic/Center - Adult Mental Health in Phoenix, AZ

Active since October 19, 2022
5060 N 19TH AVE STE 215, PHOENIX, AZ 85015(623) 606-5661 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Adult Mental Health

About ROYAL OUTPATIENT CLINIC LLC

This page provides the complete NPI Profile along with additional information for Royal Outpatient Clinic Llc, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1689390734 assigned on October 2022. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Isibhakhomen Esabu (Administrator)

NPI
1689390734 Verify this NPI
Provider Name
ROYAL OUTPATIENT CLINIC LLC
Entity Type
Organization
Location Address
5060 N 19TH AVE STE 215 PHOENIX, AZ 85015
Location Phone
(623) 606-5661
Mailing Address
13323 W SOLANO DR LITCHFIELD PARK, AZ 85340
Mailing Phone
(623) 606-5661
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-19-2022
Last Update Date
10-19-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ISIBHAKHOMEN ESABU

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(623) 606-5661

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689390734, enumerated as an "organization" on October 19, 2022.

The provider is located at 5060 N 19TH AVE STE 215 PHOENIX, AZ 85015 and the phone number is (623) 606-5661.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.