Platinum Wellness, Inc.

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

Legal business name

PLATINUM WELLNESS, INC.

Practice address

2720 E Thomas Rd Ste 190B
Phoenix, AZ 85016-8251

Phone

(323) 251-7313

NPI assigned

Nov 5, 2025

Organization subpart

No

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

Authorized official

Name

Siraje Kakooza

Title

Chief Executive Officer

Phone

(323) 251-7313

Specialties & licenses 1

Addresses

Tax ID family

Platinum Wellness Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Platinum Wellness, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1922998277
  NPD tax ID

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1053281162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 E THOMAS RD STE 190B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168251",
            "telephone_number": "323-251-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 E THOMAS RD STE 190B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168251",
            "telephone_number": "323-251-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "KAKOOZA",
        "authorized_official_first_name": "SIRAJE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "323-251-7313"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Charles Andrew Platt, MA, BCBA, LBA
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• Addiction (Substance Use Disorder) Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Addiction (Substance Use Disorder) Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.