Ideal Performance LLC

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Legal business name

IDEAL PERFORMANCE LLC

Practice address

9299 W Olive Ave Ste 403
Peoria, AZ 85345-8383

Phone

(505) 489-3962

NPI assigned

Feb 19, 2024

Organization subpart

No

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

Authorized official

Name

Michael ArmijoNPI 1871366435

Title

Owner

Phone

(505) 489-3962

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Michael Armijo

  • Cognitive & Behavioral Psychologist
  • Peoria, AZ
  • NPI 1871366435
  NPD Authorized official
• Blake Hahn

  • Cognitive & Behavioral Psychologist
  • Peoria, AZ
  • NPI 1841069960
  NPD

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1619732591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9299 W OLIVE AVE STE 403",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853458383",
            "telephone_number": "505-489-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9299 W OLIVE AVE STE 403",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853458383",
            "telephone_number": "505-489-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "ARMIJO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-489-3962"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cognitive & Behavioral Psychologist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Cognitive & Behavioral Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.