Arizona in Love PLLC

Key facts

NPI

1255636767

Entity type

Organization (NPI type 2)

Primary specialty

Psychologist 103T00000X

License

4061 (AZ)

Legal business name

ARIZONA IN LOVE PLLC

Practice address

11000 N Scottsdale Rd
Ste. 163
Scottsdale, AZ 85254-6130

Phone

(480) 922-5440

Fax

(480) 922-5445

NPI assigned

Jan 13, 2011

Organization subpart

No

Authorized official

Name

Mr. Scot Liepack, PHD

Title

Member

Phone

(480) 371-4773

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

Other names

• Scot Liepack PhD Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 13, 2011.

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1255636767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21150 N TATUM BLVD",
            "address_2": "#4012",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504292",
            "telephone_number": "480-371-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD",
            "address_2": "STE. 163",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546130",
            "telephone_number": "480-922-5440",
            "fax_number": "480-922-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA IN LOVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "LIEPACK",
        "authorized_official_first_name": "SCOT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-371-4773",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "4061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1912924853",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scot Liepack PhD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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