Organization Active NPI

Psychology Based Solutions LLC

Doing business as Integrative Therapy Solutions

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1336620111
Registry record updated Sep 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PSYCHOLOGY BASED SOLUTIONS LLC
Doing business as
Integrative Therapy Solutions
Practice address
2211 E Highland Ave Ste 115
Phoenix, AZ 85016-4833
Phone
(480) 646-3368
NPI assigned
Aug 28, 2018
Last updated
Sep 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2020

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

Authorized official

Name
Morgan Uribe, LCSWNPI 1033618103
Title
Psychotherapist
Phone
(480) 646-3368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2211 E Highland Ave Ste 115
Phoenix, AZ 85016-4833

Mailing address

2211 E Highland Ave Ste 115
Phoenix, AZ 85016-4833
Phone (480) 646-3368

Other identifiers 1

IdentifierTypeStateIssuer
359483MedicaidAZ

Other names 1

  • Integrative Therapy Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200304000511 AZ Part B Supplier - Clinic/Group Practice 1052748019 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ; Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

2211 E Highland Ave
Ste 115
Phoenix, AZ 85016
Phone (480) 646-3368

2211 E Highland Ave
Ste 140
Phoenix, AZ 85016
Phone (443) 690-7846

8700 E Vista Bonita Dr
Ste 124
Scottsdale, AZ 85255
Phone (480) 415-3669

8700 E Vista Bonita Dr
Ste 236
Scottsdale, AZ 85255
Phone (480) 646-3368

8707 E Vista Bonita Dr
Ste 140
Scottsdale, AZ 85255
Phone (480) 646-3368

424 E Southern Ave
Ste 102
Tempe, AZ 85282
Phone (480) 449-3313

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599436800000",
    "number": "1336620111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 E HIGHLAND AVE STE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164833",
            "telephone_number": "480-646-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 E HIGHLAND AVE STE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164833",
            "telephone_number": "480-646-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY BASED SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A",
        "authorized_official_last_name": "URIBE",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "480-646-3368",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "359483",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Therapy Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.