Southern Arizona Integrated Medicine, LLC

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

SOUTHERN ARIZONA INTEGRATED MEDICINE, LLC

Practice address

1604 N Country Club Rd
Tucson, AZ 85716-3119

Phone

(480) 315-1141

NPI assigned

May 19, 2016

Organization subpart

No

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

Authorized official

Name

Charles Anderson

Title

Ceo

Phone

(480) 315-1141

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1477900348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10869 N SCOTTSDALE RD",
            "address_2": "SUITE 103-195",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545280",
            "telephone_number": "480-315-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 N COUNTRY CLUB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163119",
            "telephone_number": "480-315-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ARIZONA INTEGRATED MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-315-1141"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Arizona Ear Nose & Throat
• Southern Arizona Endodontics
• Southern Arizona Family Services, Inc.
• Southern Arizona Health Care System
• Southern Arizona Infectious Disease Specialists PLC
• Southern Arizona Internal Medicine PLLC
• Southern Arizona Internal Medicine, PLLC
• Southern Arizona Limb Preservation Center LLC
• Southern Arizona Medical Specialists LTD
• Southern Arizona Neuropsychology Associates LLC

• Group Psychotherapy Psychologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Group Psychotherapy Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.