Pediatric Weight Management Clinic

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PEDIATRIC WEIGHT MANAGEMENT CLINIC

Practice address

8432 W Larkspur Dr
Peoria, AZ 85381-5177

Phone

(623) 340-0800

NPI assigned

Jul 29, 2015

Last updated

Jul 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michaesha Griffin

Title

Executive Director

Phone

(623) 340-0800

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1093190266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8432 W LARKSPUR DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815177",
            "telephone_number": "623-340-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8432 W LARKSPUR DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815177",
            "telephone_number": "623-340-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC WEIGHT MANAGEMENT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "MICHAESHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "623-340-0800"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Peacock
• Brent Peak, LAC
• Lisa M. Pecora, SLPA
• Hailey Elise Pedersen
• Pediatric Partners LLC (Aspire Therapy)
• Ann Therese Peer, MD
• Jennifer L. Peery, P.T.
• Greg Alan Peetoom, PH.D.
• Shelby Lynn Pellegrino
• Rochelle Pena, FNP

• Case Management Agency in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Case Management Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.