GRATITUDE MEDICAL CENTER PLLC
NPI 1972335891
Counselor - Mental Health in Phoenix, AZ

Active since August 19, 2024CLIA 03D2293621 · Microscopy
1310 N 24TH ST # 150A, PHOENIX, AZ 85008(602) 989-5550 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2025, Aug 19, 2024 (2 updates tracked since 2024).

About Gratitude Medical Center Pllc NPPES

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

GRATITUDE MEDICAL CENTER PLLC (NPI 1972335891) is a healthcare organization registered as a mental health in Phoenix, Arizona and active in the NPI registry since August 2024. The organization holds a CLIA Microscopy certificate valid through November 12, 2027 and lists Gustavo E Dalotto, Owner, as its authorized official.

NPPES Registry Identity

NPI1972335891
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameGRATITUDE MEDICAL CENTER PLLC
Location Address1310 N 24TH ST # 150APhoenix, AZ 85008-4617
Mailing Address1310 N 24th St # 150aPhoenix, AZ 85008-4617 · (602) 989-5550
Organization SubpartNo
Authorized OfficialGustavo E DalottoOwner · (602) 989-5550
Enumeration DateAugust 19, 2024
Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1972335891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1310 N 24TH ST # 150A, Phoenix, AZ 85008

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gratitude Medical Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Gratitude Medical Center PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1730827262
3330 N 2ND ST
Phoenix, AZ 85012
(602) 631-4090
✔ PECOS✔ Accepts Medicare2.9 mi
Family Practice
NPI 1336451525
727 E BETHANY HOME RD STE A101
Phoenix, AZ 85014
(602) 279-2400
✔ PECOS✔ Accepts Medicare4.5 mi
Psychiatry
NPI 1205065299
301 W ECHO LN
Phoenix, AZ 85021
(602) 350-3046
✔ PECOS✔ Accepts Medicare7.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 03D2293621

Gratitude Medical Center PLLC · Phoenix, AZ
Active · expires Nov 12, 2027
CLIA Number03D2293621
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorRocio Calderon
Laboratory Phone(602) 254-0200
Laboratory LocationGratitude Medical Center PLLC1310 N 24th St 150A, Phoenix, AZ 85008
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Gratitude Medical Center PLLC's NPI number?

The NPI number for Gratitude Medical Center PLLC is 1972335891. It was assigned to this organization in the NPPES registry on August 19, 2024.

Where is Gratitude Medical Center PLLC located?

Gratitude Medical Center PLLC is located at 1310 N 24th St # 150A, Phoenix, AZ 85008. The listed phone number is (602) 989-5550.

What is Gratitude Medical Center PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Gratitude Medical Center PLLC enrolled in Medicare?

Yes. Gratitude Medical Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gratitude Medical Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Gratitude Medical Center PLLC, in Family Practice, Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gratitude Medical Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D2293621) is associated with this NPI, valid through November 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gratitude Medical Center PLLC was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.