Organization Active NPI

Neuromedical LLC

Doing business as Neuroasis

  • Adult Mental Health Clinic/Center
  • Tucson, AZ
National Provider Identifier
1447618509
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NEUROMEDICAL LLC
Doing business as
Neuroasis
Practice address
4578 N 1St Ave Ste 100
Tucson, AZ 85718-5748
Phone
(520) 338-2557
NPI assigned
Feb 4, 2016
Last updated
Jan 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Wendy Lynn Burtness
Title
Office Manager
Phone
(520) 338-2557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4578 N 1St Ave Ste 100
Tucson, AZ 85718-5748

Mailing address

4578 N 1St Ave Ste 100
Tucson, AZ 85718-5748
Phone (520) 338-2557

Other practice location 1

4061 E Via del Vireo
Tucson, AZ 85718
Phone (917) 363-4830

Other names 1

  • Neuroasis Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1447618509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4578 N 1ST AVE STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185748",
            "telephone_number": "520-338-2557",
            "fax_number": "520-844-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4578 N 1ST AVE STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185748",
            "telephone_number": "520-338-2557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4061 E Via del Vireo",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85718",
            "country_code": "US",
            "telephone_number": "917-363-4830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROMEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "BURTNESS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "520-338-2557"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuroasis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neuroasis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.