Active NPI
Allied Integrated Clinic Tucson LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tucson, AZ
National Provider Identifier
1659059145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- ALLIED INTEGRATED CLINIC TUCSON LLC
- Practice address
- 6418 E Tanque Verde Rd Ste 103-105
Tucson, AZ 85715-3846 - Phone
- (480) 287-4545
- NPI assigned
- Jul 6, 2023
- 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
- John Wilson
- Title
- Ceo
- Phone
- (480) 287-4545
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
6418 E Tanque Verde Rd Ste 103-105
Tucson, AZ 85715-3846
Mailing address
6418 E Tanque Verde Rd Ste 103-105
Tucson, AZ 85715-3846
Phone (480) 287-4545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTC12595 | Other | AZ | AZDHS |
National Provider Directory
National Provider DirectoryLocations
6418 E Tanque Verde Rd
Ste 103105
Tucson, AZ 85715
Phone (480) 287-4545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688601600000",
"number": "1659059145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6418 E TANQUE VERDE RD STE 103-105",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857153846",
"telephone_number": "480-287-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6418 E TANQUE VERDE RD STE 103-105",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857153846",
"telephone_number": "480-287-4545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIED INTEGRATED CLINIC TUCSON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-06",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "480-287-4545"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZDHS",
"identifier": "OTC12595",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.