Authentigo Health

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AUTHENTIGO HEALTH

Practice address

1166 E Warner Rd Ste 101
Gilbert, AZ 85296-3065

Phone

(480) 980-6330

Fax

(480) 485-1666

NPI assigned

Oct 21, 2021

Organization subpart

No

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

Authorized official

Name

Diane R Stricker, ANP, LCSWNPI 1659357994

Title

Principle

Phone

(480) 980-6330

Specialties & licenses 1

Addresses

Other names 1

• Authentigo Health Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane R Stricker, FNP-C, PMHNP-BC,

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
  • NPI 1659357994

  Clinical

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1558024943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 E WARNER RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963065",
            "telephone_number": "480-980-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 E WARNER RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963065",
            "telephone_number": "480-980-6330",
            "fax_number": "480-485-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIGO HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "STRICKER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "480-980-6330",
        "authorized_official_credential": "ANP, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Authentigo Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kinner Echeche Atekwane
• Taylor Atkins
• Amanda Atrostic
• Ubong Attah Prince, N.D.
• Austin Medical Consulting LLC
• Auxo Therapy LLC
• Ava Health LLC
• Avalon Family Dentistry
• Avella of Gilbert, Inc.
• Avelle Gilbert Ortho LLC

• Clinical Social Worker in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.