Organization Active NPI

Western Integrated Medical Services, LLC

  • Group Psychotherapy Psychologist
  • Scottsdale, AZ
National Provider Identifier
1518314665
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
WESTERN INTEGRATED MEDICAL SERVICES, LLC
Practice address
10609 N Hayden Rd
Suite E 106
Scottsdale, AZ 85260-8531
Phone
(480) 315-1141
NPI assigned
May 18, 2016
Last updated
May 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Mr. Charles Anderson
Title
Ceo
Phone
(480) 315-1141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X Primary

Addresses

Primary practice location

10609 N Hayden Rd
Suite E 106
Scottsdale, AZ 85260-8531

Mailing address

10869 N Scottsdale Rd
Suite 103-153
Scottsdale, AZ 85254-5280
Phone (480) 315-1141

National Provider Directory

National Provider Directory

Locations

10609 N Hayden Rd
Ste 106
Scottsdale, AZ 85260
Phone (480) 315-1141

10869 N Scottsdale Rd
Ste 103153
Scottsdale, AZ 85254

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": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1518314665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10869 N SCOTTSDALE RD",
            "address_2": "SUITE 103-153",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545280",
            "telephone_number": "480-315-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10609 N HAYDEN RD",
            "address_2": "SUITE E 106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852608531",
            "telephone_number": "480-315-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN INTEGRATED MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-315-1141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.