Organization Active NPI

Rapport1St LLC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1497233126
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RAPPORT1ST LLC
Practice address
2601 N 3Rd St Ste 303
Phoenix, AZ 85004-1101
Phone
(602) 486-6581
Fax
(602) 368-5999
NPI assigned
Aug 3, 2018
Last updated
Aug 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Authorized official

Name
Mr. Addam L Gross, PSYDNPI 1164419313
Title
Ceo
Phone
(602) 486-6581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2601 N 3Rd St Ste 303
Phoenix, AZ 85004-1101

Mailing address

2601 N 3Rd St Ste 303
Phoenix, AZ 85004-1101
Phone (602) 486-6581

Other names 1

  • RP1 Other name

National Provider Directory

National Provider Directory

Locations

2601 N 3rd St
Ste 303
Phoenix, AZ 85004
Phone (602) 486-6581

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": "1533254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1497233126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 N 3RD ST STE 303",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041101",
            "telephone_number": "602-486-6581",
            "fax_number": "602-368-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N 3RD ST STE 303",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041101",
            "telephone_number": "602-486-6581",
            "fax_number": "602-368-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPPORT1ST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "ADDAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-486-6581",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RP1",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 3, 2018; 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.