Northwest Counseling & Associates

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NORTHWEST COUNSELING & ASSOCIATES

Practice address

18301 N 79TH Ave
Ste F170
Glendale, AZ 85308-8463

Phone

(623) 236-9295

Fax

(623) 236-8819

NPI assigned

Nov 8, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Rodolfo C Nellas, M.D.

Title

Psychiatrist/ Owner

Phone

(602) 361-1273

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1114228160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE",
            "address_2": "STE F170",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088463",
            "telephone_number": "623-236-9295",
            "fax_number": "623-236-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE",
            "address_2": "STE F170",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088463",
            "telephone_number": "623-236-9295",
            "fax_number": "623-236-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST COUNSELING & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "NELLAS",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PSYCHIATRIST/ OWNER",
        "authorized_official_telephone_number": "602-361-1273",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z146536",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.