Active NPI
Premier Integrated Healthcare PLLC
- Psychiatric/Mental Health Nurse Practitioner
- San Tan Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- PREMIER INTEGRATED HEALTHCARE PLLC
- Practice address
- 85 W Combs Rd Ste 101-269
San Tan Valley, AZ 85140-9125 - Phone
- (480) 231-4113
- NPI assigned
- Apr 5, 2021
- Last updated
- Feb 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chidozie C Eze, FNP-C
- Title
- Director
- Phone
- (480) 231-4113
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
85 W Combs Rd Ste 101-269
San Tan Valley, AZ 85140-9125
Mailing address
85 W Combs Rd Ste 101-269
San Tan Valley, AZ 85140-9125
Phone (480) 231-4113
Other names 1
- Sozo Medical Group
National Provider Directory
National Provider DirectoryLocations
85 W Combs Rd
Ste 101269
San Tan Valley, AZ 85140
Phone (480) 231-4113
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- San Tan Valley, AZ
- NPI 1174003909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645056000000",
"number": "1508445941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 W COMBS RD STE 101-269",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851409125",
"telephone_number": "480-231-4113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 W COMBS RD STE 101-269",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851409125",
"telephone_number": "480-231-4113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER INTEGRATED HEALTHCARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-05",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A",
"authorized_official_last_name": "EZE",
"authorized_official_first_name": "CHIDOZIE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "480-231-4113",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sozo Medical Group",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Sozo Medical Group",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.