Eclipse Psychiatry Outpatient Treatment Center PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ECLIPSE PSYCHIATRY OUTPATIENT TREATMENT CENTER PLLC

Practice address

2152 S Vineyard Ste 113-114
Mesa, AZ 85210-6871

Phone

(978) 697-0301

NPI assigned

May 17, 2022

Last updated

May 17, 2022By 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

Anthony KimaniNPI 1295370401

Title

Owner

Phone

(978) 697-0301

Specialties & licenses 1

Addresses

Locations

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.

• Anthony Wanjohi Kimani

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1295370401
  NPD Authorized official

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1114664570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 S VINEYARD STE 113-114",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 S VINEYARD STE 113-114",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106871",
            "telephone_number": "978-697-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLIPSE PSYCHIATRY OUTPATIENT TREATMENT CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "KIMANI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-697-0301"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Eckert
• Summer Eckert
• Jennifer L. Eckles
• Annmargaret Eclavea
• Eclipse Psychiatry
• Eclipse Surgical Center
• Jennifer L Econopouly
• Brook Eddy, COTA/L
• Holly Melinda Eddy, COTA
• Kevin Edel, RPH

• Community/Behavioral Health Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.