Active NPI
Telehealth on the Go
- Adult Mental Health Clinic/Center
- Phoenix, AZ
National Provider Identifier
1326643032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- TELEHEALTH ON THE GO
- Practice address
- 3104 E Camelback Rd
Phoenix, AZ 85016-4502 - Phone
- (602) 699-5753
- NPI assigned
- Dec 1, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brianne Terrell, PMHNP
- Title
- Psychiatric Nurse Practitioner
- Phone
- (602) 699-5753
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
3104 E Camelback Rd
Phoenix, AZ 85016-4502
Mailing address
3104 E Camelback Rd
Phoenix, AZ 85016-4502
Phone (602) 699-5753
Other names 1
- Telehealth on the Go, PLLC
National Provider Directory
National Provider DirectoryLocations
3104 E Camelback Rd
Phoenix, AZ 85016
Phone (888) 888-9930
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
- NPI 1457904104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611619200000",
"number": "1326643032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3104 E CAMELBACK RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164502",
"telephone_number": "602-699-5753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3104 E CAMELBACK RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164502",
"telephone_number": "602-699-5753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELEHEALTH ON THE GO",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-01",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A",
"authorized_official_last_name": "TERRELL",
"authorized_official_first_name": "BRIANNE",
"authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
"authorized_official_telephone_number": "602-699-5753",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Telehealth on the Go, PLLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Telehealth on the Go, PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Phoenix, AZ
- Kebebush Tekle, PHARMACIST
- Leah Rebekah Tekle, DMD
- Luwam Afeworky Tekle, PHARMD
- Tela Ventures, LLC
- Telecare Express (TeleCare Express of Arizona)
- Ted Telepak
- Teleradiology Specialist of Indiana LLC
- Teleradiology Specialists LLC
- Teleradiology Specialists of Delaware LLC
- Teleradiology Specialists of Minnesota PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.