Gallus Detox Scottsdale

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

GALLUS DETOX SCOTTSDALE

Practice address

4326 N 75TH St
Scottsdale, AZ 85251-3505

Phone

(928) 227-2300

Fax

(928) 771-0206

NPI assigned

Jun 11, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Shannon Weir, RN

Title

Administrator & Director of Nursing

Phone

(928) 227-2300

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1083095467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4326 N 75TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513505",
            "telephone_number": "928-227-2300",
            "fax_number": "928-771-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 N 75TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513505",
            "telephone_number": "928-227-2300",
            "fax_number": "928-771-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLUS DETOX SCOTTSDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "WEIR",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "ADMINISTRATOR & DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "928-227-2300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regan Gallegos, MSC, LPC, BHP
• Kelleen A. Gallion, PT
• Christin L Gallo, D.O.
• Isabella Gallo, LMSW
• Diana June Galloway, PSYD
• Gallus Medical Services Arizona
• Lisa Galper, PSY. D.
• Matthew Steven Gamber, PHARM.D.
• Gabriella Renee Gamboa
• Jennifer Gamlen, NP-C

• Substance Abuse Rehabilitation Facility in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.