Bamboo Wellness PLLC

Primary specialty

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

Legal business name

BAMBOO WELLNESS PLLC

Practice address

5151 E Broadway Blvd Ste 720
Tucson, AZ 85711-3783

Phone

(520) 261-6707

NPI assigned

Nov 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Scott M. Padilla, PSYD

Title

Clinical Psychologist/Owner

Phone

(520) 261-6707

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1245876259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 E BROADWAY BLVD STE 720",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113783",
            "telephone_number": "520-261-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 E BROADWAY BLVD STE 720",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113783",
            "telephone_number": "520-261-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMBOO WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "520-261-6707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "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": []
}

• Travis Bals
• James C Balserak, MD
• Taylor Joe Balsino, ATC
• Malu Victoria P. Bambalan, FNP
• Alexis Marcela Bambauer, LAC
• Taylor Bamfield
• Colin Bamford, MD, MPH
• Esther Ruth Bamford
• Marie Bampamulolwa
• Megan Banaszynski

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tucson, AZ
• Providers in Tucson, 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 Nov 25, 2019; 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.