Organization Active NPI

New Adaptations Psychotherapy Services LLC

  • Clinical Social Worker
  • Gilbert, AZ
National Provider Identifier
1083094122
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-15265 Issued in AZ
Legal business name
NEW ADAPTATIONS PSYCHOTHERAPY SERVICES LLC
Practice address
3303 E Baseline Rd
Suite 114
Gilbert, AZ 85234-2738
Phone
(480) 447-7073
NPI assigned
Jun 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Lynn S Brimhall, MSW, LCSW
Title
Ceo
Phone
(602) 570-5280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCSW-15265 AZ Primary

Addresses

Primary practice location

3303 E Baseline Rd
Suite 114
Gilbert, AZ 85234-2738

Mailing address

4108 E Downing St
Mesa, AZ 85205-6253
Phone (480) 447-7073

National Provider Directory

National Provider Directory

Locations

3303 E Baseline Rd
Ste 114
Gilbert, AZ 85234
Phone (480) 539-7022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1083094122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 E DOWNING ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852056253",
            "telephone_number": "480-447-7073",
            "fax_number": "480-219-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 E BASELINE RD",
            "address_2": "SUITE 114",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342738",
            "telephone_number": "480-447-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ADAPTATIONS PSYCHOTHERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "BRIMHALL",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-570-5280",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-15265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.