NPIMap

Organization Active NPI

Paradise Lifestyle LLC

  • Counseling Psychologist
  • Mesa, AZ
National Provider Identifier
1235849779
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
PARADISE LIFESTYLE LLC
Practice address
810 S Alma School Rd Ste 4
Mesa, AZ 85210-1091
Phone
(480) 699-9299
NPI assigned
Nov 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Dianna Nguyen
Title
Owner
Phone
(480) 699-9299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

810 S Alma School Rd Ste 4
Mesa, AZ 85210-1091

Mailing address

810 S Alma School Rd Ste 4
Mesa, AZ 85210-1091
Phone (480) 699-9299

Other names 1

  • Paradise Lifestyle LLC Doing business as

National Provider Directory

National Provider Directory

Locations

810 S Alma School Rd
Ste 4
Mesa, AZ 85210
Phone (480) 699-9299

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1235849779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S ALMA SCHOOL RD STE 4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852101091",
            "telephone_number": "480-699-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S ALMA SCHOOL RD STE 4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852101091",
            "telephone_number": "480-699-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE LIFESTYLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-699-9299"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Lifestyle LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paradise Lifestyle LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.