Organization Active NPI

Allied Integrated Clinic Tucson LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
National Provider Identifier
1659059145
Registry record updated Jul 6, 2023
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
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

Updated by the provider on Jul 6, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
OTC12595OtherAZAZDHS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.