Mirasol Inc

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

BH 4518 Issued in AZ

Legal business name

MIRASOL INC

Practice address

1515 E Kleindale Rd
Tucson, AZ 85719-1915

Phone

(520) 546-3200

Fax

(520) 546-3205

NPI assigned

Aug 31, 2007

Organization subpart

Yes

Parent organization

MIRASOL INCAs reported in NPPES

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

Authorized official

Name

Ms. Jeanne Rust, PHD

Title

Executive Director

Phone

(520) 546-3200

Specialties & licenses 1

Addresses

Tax ID family

Mirasol Inc3 organizations share this tax ID, including this one

Part of

Mirasol Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mirasol, Inc.

  • Psychiatric Residential Treatment Facility
  • Tucson, AZ
  • NPI 1669535720
  NPD tax ID
• Mirasol, Inc.

  • Adult Mental Health Clinic/Center
  • Tucson, AZ
  • NPI 1689913527
  NPD tax ID

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1407040553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2954 N CAMPBELL AVE # 157",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192813",
            "telephone_number": "520-546-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E KLEINDALE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191915",
            "telephone_number": "520-546-3200",
            "fax_number": "520-546-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRASOL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIRASOL INC",
        "enumeration_date": "2007-08-31",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "RUST",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "520-546-3200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AZ",
            "license": "BH 4518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Miranda Frias, RN
• Dalina Marie Miranda, RBT
• Daniella Miranda, RBT
• Jamie-Ann J Miranda, M.S., C.A.G.S.
• Rene E. Miranda, MD
• Mirasol, Inc.
• Mirasol, Inc.
• Donald Jan Miretsky, M.ED.
• Emily Mirochnick
• Courtney A Miros Land, PHARM.D.

• Psychiatric Residential Treatment Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychiatric Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.