Supreme Positive Innovation Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SUPREME POSITIVE INNOVATION SERVICES LLC

Practice address

1833 W Main St Ste 139-140
Mesa, AZ 85201-6922

Phone

(602) 757-6786

NPI assigned

Sep 26, 2020

Organization subpart

No

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

Authorized official

Name

Katelyn Marie Tamas

Title

Managing Partner

Phone

(602) 757-6786

Specialties & licenses 1

Addresses

Tax ID family

Supreme Positive Innovation Services LLC2 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.

• Supreme Positive Innovation Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesa, AZ
  • NPI 1003401902
  NPD tax ID

Locations

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1215544903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 W MAIN ST STE 139-140",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016922",
            "telephone_number": "602-757-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 W MAIN ST STE 139-140",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016922",
            "telephone_number": "602-757-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME POSITIVE INNOVATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-26",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "TAMAS",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "602-757-6786"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superstition Wellness Center PLLC
• Supervised Seniors, LLC
• Supervista North America
• Vera Ellen Suppo, RN
• Supreme Positive Innovation Services LLC
• Mysore S Suresh, D.D.S
• Pooja Suresh, D.D.S.
• Surestep
• Surgery Center of Arizona LLC
• Surgery Center of Gilbert LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.