PHC Az LLC

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

PHC AZ LLC

Practice address

9318 N 95TH Way Ste a-205
Scottsdale, AZ 85258-5537

Phone

(480) 299-7442

NPI assigned

Dec 19, 2018

Organization subpart

No

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

Authorized official

Name

John Grako

Title

Owner

Phone

(480) 299-7442

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1356813091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 N 95TH WAY STE A-205",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585537",
            "telephone_number": "480-299-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9318 N 95TH WAY STE A-205",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585537",
            "telephone_number": "480-299-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHC AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "GRAKO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-299-7442"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mike Duc Pham, D.O.
• Thanh Gia Pham, D.C.
• Nguyen Phan, DMD
• Pharvestrx
• William Frank Phaturos, DC
• Julie Phelan, LMSW
• Donna Marie Phelps, LPN
• Anna Philippe, MT-BC
• Tayler Philips, CCC-SLP
• Connie Phillips Jones, MD

• Group Psychotherapy Psychologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Group Psychotherapy Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.