Redefine Wellness Scottsdale, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

REDEFINE WELLNESS SCOTTSDALE, LLC

Practice address

8245 N. 85TH Way
Scottsdale, AZ 85258-4349

Phone

(805) 660-3643

NPI assigned

Nov 26, 2024

Organization subpart

No

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

Authorized official

Name

Daniel Petersen

Title

Owner

Phone

(805) 660-3643

Specialties & licenses 1

Addresses

Other names 1

• Redefine Wellness and Treatment Doing business as

Locations

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1053137828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 N. 85TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584349",
            "telephone_number": "805-660-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 N. 85TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584349",
            "telephone_number": "805-660-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEFINE WELLNESS SCOTTSDALE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-660-3643"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redefine Wellness and Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Satyajit Reddy, M.D.
• Sreedevi Reddy, MD
• Srinivas Perugu Reddy, M.D.
• Sudhakar K Reddy, M.D.
• Redeem Health LLC
• William L Redenius, MD
• Redidoc LLC
• Michele Aileen Redmond, RDN
• Reduspa, LLC
• Kayla Lynn Reed, LMFT

• Adult Mental Health Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.