Rebel Care PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

REBEL CARE PLLC

Practice address

2 N Central Ave Ste 1800
Phoenix, AZ 85004-2139

Phone

(857) 756-7678

NPI assigned

Nov 27, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kusum Jagdish Chanrai

Title

General Manager

Phone

(857) 756-7678

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1295501625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N CENTRAL AVE STE 1800",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042139",
            "telephone_number": "857-756-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N CENTRAL AVE STE 1800",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042139",
            "telephone_number": "857-756-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBEL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "CHANRAI",
        "authorized_official_first_name": "KUSUM",
        "authorized_official_middle_name": "JAGDISH",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "857-756-7678",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PSYCHOLOGIST",
            "identifier": "1841434123",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia Reay, CPP, LNA
• Donna Rebadow
• Alexander David Rebchuk, MD, MSC
• Alanna M Rebecca, M.D.
• Marisa Rebeka, NP
• Natalie Kate Rebello
• Rebirth Center LLC
• Michael Rebuck
• Rebuilding Lives Step by Step
• Marcus Paaikiki Recarte II, LCSW

• Clinical Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Psychologist in Arizona

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