Organization Active NPI

Mindful Choice Institute PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sahuarita, AZ
National Provider Identifier
1508361999
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP02442 Issued in NM
Legal business name
MINDFUL CHOICE INSTITUTE PLLC
Practice address
1384 E Walker Springs PL
Sahuarita, AZ 85629-6609
Phone
(520) 477-1180
Fax
(440) 337-8178
NPI assigned
Mar 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Authorized official

Name
Dr. Georgina Rotzler, DNPNPI 1174937379
Title
Psychiatric Mental Health NP
Phone
(520) 477-1180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X CNP02442 NM Primary

Addresses

Primary practice location

1384 E Walker Springs PL
Sahuarita, AZ 85629-6609

Mailing address

17470 N Pacesetter Way
Scottsdale, AZ 85255-5445
Phone (520) 477-1180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191105000271 AZ Part B Supplier - Clinic/Group Practice 2062759574 Receives reassigned benefits from 1 practitioner
Practice locations: Green Valley, AZ

National Provider Directory

National Provider Directory

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": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1508361999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17470 N PACESETTER WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555445",
            "telephone_number": "520-477-1180",
            "fax_number": "440-337-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1384 E WALKER SPRINGS PL",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856296609",
            "telephone_number": "520-477-1180",
            "fax_number": "440-337-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CHOICE INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "ROTZLER",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_title_or_position": "PSYCHIATRIC MENTAL HEALTH NP",
        "authorized_official_telephone_number": "520-477-1180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "CNP02442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sahuarita, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.