Organization Active NPI

Majestic Wellness Clinics Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Casa Grande, AZ
National Provider Identifier
1639976012
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MAJESTIC WELLNESS CLINICS INC
Practice address
1515 E Florence Blvd Ste 110
Casa Grande, AZ 85122-5334
Phone
(323) 251-7313
NPI assigned
Feb 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Shafique Kakooza
Title
C E O
Phone
(800) 689-6958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1515 E Florence Blvd Ste 110
Casa Grande, AZ 85122-5334

Mailing address

1515 E Florence Blvd Ste 110
Casa Grande, AZ 85122-5334
Phone (800) 689-6958

Other names 1

  • MAJESTIC WELLNESS CLINICS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Majestic Wellness Clinic Two3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1515 E Florence Blvd
Ste 110
Casa Grande, AZ 85122
Phone (323) 251-7313

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1639976012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E FLORENCE BLVD STE 110",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225334",
            "telephone_number": "800-689-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E FLORENCE BLVD STE 110",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225334",
            "telephone_number": "323-251-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC WELLNESS CLINICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "KAKOOZA",
        "authorized_official_first_name": "SHAFIQUE",
        "authorized_official_title_or_position": "C E O",
        "authorized_official_telephone_number": "800-689-6958"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAJESTIC WELLNESS CLINICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.