Rapport1St LLC

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

Organization subpart

No

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

Authorized official

Name

Mr. Addam L Gross, PSYD

Title

Ceo

Phone

(602) 486-6581

Specialties & licenses 1

Addresses

Other names 1

• RP1 Other name

Locations

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"
        }
    ]
}

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• Professional Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Professional Counselor in Arizona

• 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.