Christian3 Mega Clinic LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CHRISTIAN3 MEGA CLINIC LLC

Practice address

3707 E Southern Ave # 2704
Mesa, AZ 85206-2569

Phone

(661) 383-3822

NPI assigned

Feb 13, 2023

Organization subpart

No

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

Authorized official

Name

Margaret Nsubuga Kayiira, RN

Title

Ceo

Phone

(661) 383-3822

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725753600000",
    "number": "1215634928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 E SOUTHERN AVE # 2704",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062569",
            "telephone_number": "661-383-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 E SOUTHERN AVE # 2704",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062569",
            "telephone_number": "661-383-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN3 MEGA CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A",
        "authorized_official_last_name": "KAYIIRA",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "NSUBUGA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-383-3822",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tasha Christenson
• Christian Care Management II, Inc. (Reflections at Fellowship Square-Mesa)
• Christian Care Mesa, Inc. (Fellowship Square-Mesa)
• Christian Care Nursing Center, Inc. (Historic Mesa Outpatient Rehab Clinic)
• Christian Housing-Mesa, Inc. (Christian Care Manor IV)
• Daniel Joseph Christiano Jr., PH.D.
• Doris Ann Christiansen, RN, IBCLC, RLC
• Emma Christiansen
• Marcia W. Christiansen, BS MS
• Jessica Christie, BCBA

• Substance Use Disorder Rehabilitation Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2024; 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.