NPIMap

Organization Active NPI

Mirasol, Inc.

  • Psychiatric Residential Treatment Facility
  • Tucson, AZ
National Provider Identifier
1669535720
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
BH 4529 Issued in AZ
Legal business name
MIRASOL, INC.
Practice address
10490 E Escalante Rd
Tucson, AZ 85730-5502
Phone
(520) 546-3200
Fax
(520) 546-3205
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Authorized official

Name
Ms. Jeanne Rust, PHD
Title
Executive Director
Phone
(520) 546-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X BH 4529 AZ Primary

Addresses

Primary practice location

10490 E Escalante Rd
Tucson, AZ 85730-5502

Mailing address

2954 N Campbell Ave # 157
Tucson, AZ 85719-2813
Phone (520) 546-3200

National Provider Directory

National Provider Directory
Tax ID family
Mirasol Inc3 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.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1669535720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2954 N CAMPBELL AVE # 157",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192813",
            "telephone_number": "520-546-3200",
            "fax_number": "520-546-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10490 E ESCALANTE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857305502",
            "telephone_number": "520-546-3200",
            "fax_number": "520-546-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRASOL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "RUST",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "520-546-3200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AZ",
            "license": "BH 4529",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 15, 2015; 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.