Active NPI
Stratum Mental Health of Arizona Inc
- Clinical Psychologist
- Phoenix, AZ
National Provider Identifier
1124486469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- STRATUM MENTAL HEALTH OF ARIZONA INC
- Practice address
- 3104 E Camelback Rd
#2031
Phoenix, AZ 85016-4502 - Phone
- (855) 578-7288
- Fax
- (888) 741-7967
- NPI assigned
- Feb 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Malcolm Orlando Greyson
- Title
- Owner
- Phone
- (855) 578-7288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
3104 E Camelback Rd
#2031
Phoenix, AZ 85016-4502
Mailing address
40335 Winchester Rd # E221
Temecula, CA 92591-5500
Phone (855) 578-7288
National Provider Directory
National Provider DirectoryLocations
40335 Winchester Rd
Ste E221
Temecula, CA 92591
40335 Winchester Rd
#E221
Temecula, CA 92591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454371200000",
"number": "1124486469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40335 WINCHESTER RD # E221",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925915500",
"telephone_number": "855-578-7288",
"fax_number": "888-741-7967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3104 E CAMELBACK RD",
"address_2": "#2031",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164502",
"telephone_number": "855-578-7288",
"fax_number": "888-741-7967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRATUM MENTAL HEALTH OF ARIZONA INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-01",
"last_updated": "2016-02-02",
"status": "A",
"authorized_official_last_name": "GREYSON",
"authorized_official_first_name": "MALCOLM",
"authorized_official_middle_name": "ORLANDO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "855-578-7288"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.