Mountain Waves Healing Arts, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

AZ1575 Issued in AZ

Legal business name

MOUNTAIN WAVES HEALING ARTS, INC.

Practice address

2323 E Greenlaw LN
Suite 10
Flagstaff, AZ 86004-1810

Phone

(928) 526-5171

NPI assigned

Mar 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Roxanne R Witte, PH.D.NPI 1376575787

Title

Licensed Psychologist

Phone

(928) 526-1961

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roxanne Ruth Witte, PH.D.

  • Clinical Psychologist
  • Glendale, AZ
  • NPI 1376575787
  NPD (past) Authorized official
• Abigail Dorothy Moore, DO

  • Psychiatry Physician
  • Flagstaff, AZ
  • NPI 1588654552
  NPD (past)
• Nicolette Suzanne Sachs, LCSW

  • Clinical Social Worker
  • Flagstaff, AZ
  • NPI 1659431328
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1003932898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 E GREENLAW LN",
            "address_2": "SUITE 10",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041810",
            "telephone_number": "928-526-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 E GREENLAW LN",
            "address_2": "SUITE 10",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041810",
            "telephone_number": "928-526-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN WAVES HEALING ARTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "WITTE",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "928-526-1961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "AZ1575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Heart Cath Lab
• Mountain Heart Medical Practice PLLC
• Mountain Kidz Therapy PLLC
• Mountain Medical Billing, Inc
• Mountain View Pediatrics
• Debra Rockoff Mourtsen, RN
• James Kip W Moyer III
• Christopher Mueller, M.D.
• David G Mueller, DPT
• John Kurtis Mueller, MD

• Psychologist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.