Organization Active NPI

Indigenous Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tempe, AZ
National Provider Identifier
1043974702
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
INDIGENOUS HEALTH LLC
Practice address
2020 S McClintock Dr Ste 104
Tempe, AZ 85282-2691
Phone
(480) 518-6398
NPI assigned
Oct 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Dr. Murlynn Lee, PHD
Title
Ceo/Owner
Phone
(602) 799-8187

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2020 S McClintock Dr Ste 104
Tempe, AZ 85282-2691

Mailing address

2020 S McClintock Dr Ste 104
Tempe, AZ 85282-2691
Phone (602) 799-8187

Other names 1

  • Indigenous Health Doing business as

National Provider Directory

National Provider Directory

Locations

2020 S McClintock Dr
Ste 104
Tempe, AZ 85282
Phone (480) 518-6398

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1043974702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S MCCLINTOCK DR STE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822691",
            "telephone_number": "602-799-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S MCCLINTOCK DR STE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822691",
            "telephone_number": "480-518-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGENOUS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MURLYNN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "602-799-8187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indigenous Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Indigenous Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.