Active NPI
Majestic Wellness Clinics Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Casa Grande, AZ
National Provider Identifier
1639976012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Majestic Wellness Clinic Two
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Psychologist
- Phoenix, AZ
- NPI 1932079035
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1679304109
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.