NPIMap

Organization Active NPI

Phoenix Pain Treatment Center

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1114196383
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-10133 Issued in AZ
Legal business name
PHOENIX PAIN TREATMENT CENTER
Practice address
3124 E Roosevelt St # D-2
Phoenix, AZ 85008-5088
Phone
(602) 244-9200
Fax
(602) 244-9222
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Dr. William Murray Smith Sr., M.D.
Title
Medical Director
Phone
(602) 244-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X LPC-10133 AZ Primary

Addresses

Primary practice location

3124 E Roosevelt St # D-2
Phoenix, AZ 85008-5088

Mailing address

3124 E Roosevelt St # D-2
Phoenix, AZ 85008-5088
Phone (602) 244-9200

Other names 1

  • Integrated Addiction Medicine Other name

National Provider Directory

National Provider Directory
Tax ID family
Integrated Addiction Medicine2 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.

Locations

3124 E Roosevelt St
#D2
Phoenix, AZ 85008
Phone (602) 244-9200

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1114196383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 E ROOSEVELT ST # D-2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850085088",
            "telephone_number": "602-244-9200",
            "fax_number": "602-244-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 E ROOSEVELT ST # D-2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850085088",
            "telephone_number": "602-244-9200",
            "fax_number": "602-244-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PAIN TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MURRAY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "602-244-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-10133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Addiction Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.