Fortuna Healthcare Center Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FORTUNA HEALTHCARE CENTER INC

Practice address

4040 E McDowell Rd Ste 411
Phoenix, AZ 85008-4448

Phone

(602) 773-6955

NPI assigned

Jul 26, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Bakali Mukasa

Title

Director

Phone

(774) 327-5346

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1700567450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 E MCDOWELL RD STE 411",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 E MCDOWELL RD STE 411",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084448",
            "telephone_number": "602-773-6955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4040 E McDowell Rd Ste 411",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850084448",
            "country_code": "US",
            "telephone_number": "602-773-6955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORTUNA HEALTHCARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "MUKASA",
        "authorized_official_first_name": "BAKALI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "774-327-5346",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Fortin
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• Fortitude Healthcare, LLC
• Fortitude Surgery Center, LLC
• F D Fortuin Jr., M.D.
• John Joseph Fortune, MD
• Fortuneworks LLC
• Fortuneworks LLC
• Fortuneworks LLC
• Forty Third Medical Associates, LLC

• All providers in Phoenix, AZ
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.