Next Gen Medicus
Organization Active NPI Psychologist · Tempe, AZ
NPI 1730748435 · NPPES record last updated Sep 4, 2019
Key facts
- NPI
- 1730748435
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- NEXT GEN MEDICUS
- Practice address
- 2075 S Cottonwood Dr
Tempe, AZ 85282-3040 - Phone
- (602) 362-1823
- NPI assigned
- Jun 7, 2019
- Organization subpart
- No
Authorized official
- Name
- Crystal Alejo
- Title
- Credentialing Supervisor
- Phone
- (480) 703-1883
National Provider Directory
Locations
2075 S Cottonwood Dr
Tempe, AZ 85282
Phone (480) 718-0568
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | Yes | ||
| Addiction (Substance Use Disorder) Psychologist |
103TA0400X | |||
| Group Psychotherapy Psychologist |
103TP2701X | |||
| Internal Medicine Physician |
207R00000X | |||
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | |||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
2075 S Cottonwood Dr
Tempe, AZ 85282-3040
Mailing address
2075 S Cottonwood Dr
Tempe, AZ 85282-3040
Phone (602) 362-1823
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 595199 | Medicaid | AZ | |
| 44177 | Other | AZ | AZ LICENSE |
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.