NPIMap

Organization Active NPI

Comprehensive Fitness & Consultation, LLC

  • Psychologist
  • Phoenix, AZ
National Provider Identifier
1477924256
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4670 Issued in AZ
Legal business name
COMPREHENSIVE FITNESS & CONSULTATION, LLC
Practice address
34406 N 27TH Dr
BLDG 6, Suite 118
Phoenix, AZ 85085-6082
Phone
(623) 215-9958
Fax
(623) 215-9959
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Dr. Amy K White, PSYD
Title
Psychologist
Phone
(623) 215-9958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 4670 AZ Primary

Addresses

Primary practice location

34406 N 27TH Dr
BLDG 6, Suite 118
Phoenix, AZ 85085-6082

Mailing address

34406 N 27TH Dr
BLDG 6, Suite 118
Phoenix, AZ 85085-6082
Phone (623) 215-9958

National Provider Directory

National Provider Directory

Locations

34406 N 27th Dr
Ste 118
Phoenix, AZ 85085
Phone (623) 215-9958

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1477924256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34406 N 27TH DR",
            "address_2": "BLDG 6, SUITE 118",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856082",
            "telephone_number": "623-215-9958",
            "fax_number": "623-215-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34406 N 27TH DR",
            "address_2": "BLDG 6, SUITE 118",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856082",
            "telephone_number": "623-215-9958",
            "fax_number": "623-215-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE FITNESS & CONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "623-215-9958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "4670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 19, 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.