Amin Elrayah Elhag

Primary specialty

DriverTaxonomy code 172A00000X

License

900928659 Issued in AZ

Practice address

630 N Fresno St
Chandler, AZ 85225-3720

Phone

(480) 326-2165

NPI assigned

May 12, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Az Concepts Behavioral Health LLC.

  • Mental Illness Community Based Residential Treatment Facility
  • Chandler, AZ
  • NPI 1538003090
  NPD Authorized official

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

{
    "created_epoch": "1368316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368316800000",
    "number": "1467898973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N FRESNO ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852253720",
            "telephone_number": "480-326-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N FRESNO ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852253720",
            "telephone_number": "480-326-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHAG",
        "first_name": "AMIN",
        "middle_name": "ELRAYAH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-12",
        "last_updated": "2013-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "AZ",
            "license": "900928659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milena Elek, RPH
• Lakeisha Elem
• Elevate Tongue Tie Center, PLLC
• Elevation Pathways Inc.
• Ziad Michael Elghoul, MD
• Jessica Elias
• Claire Eliason, DO
• Elite Health & Wellness Center
• Elite Therapy Services LLC
• Elite Youth & Family Services, LLC

• Driver in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Driver in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2013; 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.