Active NPI
PRC Integrated Care
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
National Provider Identifier
1386352003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- PRC INTEGRATED CARE
- Practice address
- 301 W McDowell Rd
Phoenix, AZ 85003-1214 - Phone
- (602) 706-4405
- NPI assigned
- Nov 10, 2022
- 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
- Felicia Sumlin
- Title
- Authorized Contact
- Phone
- (480) 570-6444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
301 W McDowell Rd
Phoenix, AZ 85003-1214
Mailing address
264 N Exeter St
Chandler, AZ 85225-4657
Phone (602) 706-4405
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678320000000",
"number": "1386352003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 N EXETER ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852254657",
"telephone_number": "602-706-4405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W MCDOWELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850031214",
"telephone_number": "602-706-4405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRC INTEGRATED CARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-10",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A",
"authorized_official_last_name": "SUMLIN",
"authorized_official_first_name": "FELICIA",
"authorized_official_title_or_position": "AUTHORIZED CONTACT",
"authorized_official_telephone_number": "480-570-6444"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.