Mirasol, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

OTC 6713 Issued in AZ

Legal business name

MIRASOL, INC.

Practice address

3116 N Swan Rd
Tucson, AZ 85712-1227

Phone

(520) 546-3200

Fax

(520) 546-3205

NPI assigned

Feb 13, 2013

Last updated

Apr 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jay Lester, MBA

Title

Director

Phone

(520) 546-3200

Specialties & licenses 1

Addresses

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.

• Mirasol Inc

  • Psychiatric Residential Treatment Facility
  • Tucson, AZ
  • NPI 1407040553
  NPD tax ID
• Mirasol, Inc.

  • Psychiatric Residential Treatment Facility
  • Tucson, AZ
  • NPI 1669535720
  NPD tax ID

Locations

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1689913527",
    "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": "3116 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121227",
            "telephone_number": "520-546-3200",
            "fax_number": "520-546-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRASOL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-546-3200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AZ",
            "license": "OTC 6713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniella Miranda, RBT
• Jamie-Ann J Miranda, M.S., C.A.G.S.
• Rene E. Miranda, MD
• Mirasol Inc
• Mirasol, Inc.
• Donald Jan Miretsky, M.ED.
• Emily Mirochnick
• Courtney A Miros Land, PHARM.D.
• Mirror Mirror Aesthetics & Wellness
• Pamela Mirsky, M.D.

• Adult Mental Health Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.