The Newstart Integrated Health Clinic LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

THE NEWSTART INTEGRATED HEALTH CLINIC LLC

Doing business as

The Newstart Integrated Health Clinic LLC

Practice address

2920 N 24TH Ave Ste 120&130
Phoenix, AZ 85015-5947

Phone

(602) 358-9175

NPI assigned

Apr 26, 2022

Organization subpart

No

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

Authorized official

Name

Analiza De Pedro

Title

Member

Phone

(602) 358-9175

Specialties & licenses 4

Addresses

Other names 1

• The Newstart Integrated Health Clinic LLC Doing business as

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663459200000",
    "number": "1295479244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15213 N 143RD AVE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798542",
            "telephone_number": "602-358-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N 24TH AVE STE 120&130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155947",
            "telephone_number": "602-358-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEWSTART INTEGRATED HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-09-18",
        "certification_date": "2022-09-18",
        "status": "A",
        "authorized_official_last_name": "DE PEDRO",
        "authorized_official_first_name": "ANALIZA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-358-9175"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tnsihc.llc@gmail.com",
            "affiliation": "N",
            "address_1": "15213 N 143rd Ave",
            "city": "Surprise",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853798542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tnsihc.llc@gmail.com",
            "affiliation": "N",
            "address_1": "15213 N 143rd Ave",
            "city": "Surprise",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853798542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Newstart Integrated Health Clinic LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Newstart Integrated Health Clinic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2022; 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.