Northern Arizona Med-Psych Clinic, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

36928 Issued in AZ

Legal business name

NORTHERN ARIZONA MED-PSYCH CLINIC, PLLC

Doing business as

Nampc, PLLC

Practice address

2155 W Sr 89a
St 105
Sedona, AZ 86336-5468

Phone

(928) 821-3403

Fax

(928) 282-1852

NPI assigned

Dec 3, 2014

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Linda Colleen Tolleson

Title

Co-Owner

Phone

(928) 821-5173

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• NAMPC, PLLC Doing business as

Locations

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1588061634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 S MAIN ST",
            "address_2": "BOX 447",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264601",
            "telephone_number": "928-821-3403",
            "fax_number": "928-282-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 W SR 89A",
            "address_2": "ST 105",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365468",
            "telephone_number": "928-821-3403",
            "fax_number": "928-282-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARIZONA MED-PSYCH CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "TOLLESON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "COLLEEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "928-821-5173",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "36928",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "36928",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000092216",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICAL BOARD",
            "identifier": "36928",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "000085117",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231772",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NAMPC, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatry Physician in Sedona, AZ
• Providers in Sedona, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.