Scottsdale Mental Health and Wellness Institute PLLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

SCOTTSDALE MENTAL HEALTH AND WELLNESS INSTITUTE PLLC

Practice address

8350 E Raintree Dr Ste 130
Scottsdale, AZ 85260-2692

Phone

(480) 508-0882

Fax

(480) 508-0891

NPI assigned

May 22, 2020

Organization subpart

No

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

Authorized official

Name

Roland Segal, MD

Title

Member

Phone

(480) 508-0882

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Ellen Friedman, MSW

  • Clinical Social Worker
  • Avondale, AZ
  • NPI 1538545363
  NPD (past)

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1669095758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 E RAINTREE DR STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602692",
            "telephone_number": "480-508-0882",
            "fax_number": "480-508-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 E RAINTREE DR STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602692",
            "telephone_number": "480-508-0882",
            "fax_number": "480-508-0891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1492 S Mill Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852815664",
            "country_code": "US",
            "telephone_number": "484-628-5142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCOTTSDALE MENTAL HEALTH AND WELLNESS INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-508-0882",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID",
            "identifier": "BH5706",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUTPATIENT TREATMENT CENTER",
            "identifier": "OTC9888",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scottsdale Medical Specialists LTD.
• Scottsdale Medicine and Weight Loss Center
• Scottsdale Men'S Intimacy Iop LLC
• Scottsdale Mental Health
• Scottsdale Mental Health and Wellness Institute
• Scottsdale Modern Dentistry and Orthodontics, LLP
• Scottsdale Modern Detox LLC
• Scottsdale Neuro Care, PLLC
• Scottsdale Neuro Health LLC
• Scottsdale Neurological Consultants

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.