Neuron Connect LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

NEURON CONNECT LLC

Practice address

4524 N Maryvale Pkwy Ste 140
Phoenix, AZ 85031-1730

Phone

(602) 888-1012

Fax

(602) 926-8333

NPI assigned

Feb 17, 2025

Organization subpart

No

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

Authorized official

Name

Ryan BeattyNPI 1467035550

Title

Ceo/Owner

Phone

(310) 877-0127

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Beatty

  • Psychiatric/Mental Health Nurse Practitioner
  • Tempe, AZ
  • NPI 1467035550
  NPD Authorized official

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1386449049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 N 44TH ST STE 14-1428",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850082442",
            "telephone_number": "602-888-1012",
            "fax_number": "602-926-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4524 N MARYVALE PKWY STE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311730",
            "telephone_number": "602-888-1012",
            "fax_number": "602-926-8333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4566 E Inverness Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064633",
            "country_code": "US",
            "telephone_number": "602-888-1012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4515 S McClintock Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852827376",
            "country_code": "US",
            "telephone_number": "602-888-1012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEURON CONNECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "310-877-0127"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.