Organization Active NPI

Aurtism LLC

  • Mental Health Counselor
  • Mesa, AZ
National Provider Identifier
1710521802
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AURTISM LLC
Practice address
4121 E Valley Auto Dr Ste 109
Mesa, AZ 85206-4632
Phone
(702) 906-8889
NPI assigned
Oct 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Authorized official

Name
Courtney Haywood
Title
Owner
Phone
(702) 906-8889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4121 E Valley Auto Dr Ste 109
Mesa, AZ 85206-4632

Mailing address

4121 E Valley Auto Dr Ste 109
Mesa, AZ 85206-4632
Phone (702) 906-8889

National Provider Directory

National Provider Directory

Locations

4121 E Valley Auto Dr
Ste 109
Mesa, AZ 85206
Phone (623) 715-5331

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1710521802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 E VALLEY AUTO DR STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064632",
            "telephone_number": "702-906-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 E VALLEY AUTO DR STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064632",
            "telephone_number": "702-906-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURTISM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-906-8889"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.