NPIMap

Organization Active NPI

Go Dehp LLC

  • Exercise & Sports Psychologist
  • Phoenix, AZ
National Provider Identifier
1477328623
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exercise & Sports PsychologistTaxonomy code 103TE1100X
Legal business name
GO DEHP LLC
Doing business as
17th Floor.VIP
Practice address
3800 N Central Ave FL 17
Phoenix, AZ 85012-1992
Phone
(480) 225-0555
NPI assigned
Nov 17, 2023
Organization subpart
Yes
Parent organization
GO DEHP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Josette Sullins
Title
Ceo
Phone
(480) 225-0555

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Exercise & Sports PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TE1100X Primary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
Integrative Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202D00000X
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X

Addresses

Primary practice location

3800 N Central Ave FL 17
Phoenix, AZ 85012-1992

Mailing address

3800 N Central Ave FL 17
Phoenix, AZ 85012-1992
Phone (480) 225-0555

Other names 1

  • 17th Floor.VIP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Go Dehp LLC3 organizations share this tax ID, including this one
Part of
Go Dehp LLC

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1477328623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N CENTRAL AVE FL 17",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121992",
            "telephone_number": "480-225-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N CENTRAL AVE FL 17",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121992",
            "telephone_number": "480-225-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO DEHP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GO DEHP LLC",
        "enumeration_date": "2023-11-17",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "SULLINS",
        "authorized_official_first_name": "JOSETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-225-0555"
    },
    "taxonomies": [
        {
            "code": "103TE1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "17th Floor.VIP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 18, 2024; 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.