Active NPI
One Point Psychiatric Services LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
National Provider Identifier
1194453688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- ONE POINT PSYCHIATRIC SERVICES LLC
- Practice address
- 5060 N 19TH Ave Ste 410
Phoenix, AZ 85015-3214 - Phone
- (480) 233-2544
- NPI assigned
- Aug 11, 2022
- 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
- Aline Indatwa
- Title
- Owner
- Phone
- (480) 233-2544
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
5060 N 19TH Ave Ste 410
Phoenix, AZ 85015-3214
Mailing address
5060 N 19TH Ave Ste 410
Phoenix, AZ 85015-3214
Phone (480) 233-2544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CSLG11864 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH |
National Provider Directory
National Provider DirectoryLocations
5060 N 19th Ave
Ste 410
Phoenix, AZ 85015
Phone (480) 233-2544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660176000000",
"number": "1194453688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5060 N 19TH AVE STE 410",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850153214",
"telephone_number": "480-233-2544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5060 N 19TH AVE STE 410",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850153214",
"telephone_number": "480-233-2544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONE POINT PSYCHIATRIC SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-11",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A",
"authorized_official_last_name": "INDATWA",
"authorized_official_first_name": "ALINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-233-2544"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA DEPARTMENT OF HEALTH",
"identifier": "CSLG11864",
"state": "AZ"
}
],
"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 Aug 11, 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.