NPIMap

Organization Active NPI

Arizona Intergrated Tele Psychiatry and Tele Medicine Services LLC

  • Family Health Clinical Nurse Specialist
  • Mesa, AZ
National Provider Identifier
1629554126
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
Legal business name
ARIZONA INTERGRATED TELE PSYCHIATRY AND TELE MEDICINE SERVICES LLC
Practice address
2729 E Main St Ste 101-102
Mesa, AZ 85213-9228
Phone
(480) 867-1722
Fax
(480) 867-1709
NPI assigned
Jul 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Medina Kamau, NPNPI 1215334172
Title
Provider
Phone
(480) 867-1722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Family Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SF0001X Primary

Addresses

Primary practice location

2729 E Main St Ste 101-102
Mesa, AZ 85213-9228

Mailing address

2735 E Main St Ste 2&3
Mesa, AZ 85213-9269
Phone (480) 867-1722

Other names 1

  • AZITTS Doing business as

National Provider Directory

National Provider Directory

Locations

2729 E Main St
Ste 101102
Mesa, AZ 85213
Phone (480) 867-1722

2735 E Main St
Ste 23
Mesa, AZ 85213
Phone (480) 867-1722

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1629554126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 E MAIN ST STE 2&3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852139269",
            "telephone_number": "480-867-1722",
            "fax_number": "480-867-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 E MAIN ST STE 101-102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852139228",
            "telephone_number": "480-867-1722",
            "fax_number": "480-867-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA INTERGRATED TELE PSYCHIATRY AND TELE MEDICINE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "KAMAU",
        "authorized_official_first_name": "MEDINA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "480-867-1722",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZITTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.