Active NPI
Gilgal Phoenix Wellness Center
- Mental Health Counselor
- Phoenix, AZ
National Provider Identifier
1801589007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- GILGAL PHOENIX WELLNESS CENTER
- Practice address
- 4040 E McDowell Rd Ste 308
Phoenix, AZ 85008-4447 - Phone
- (602) 489-6300
- NPI assigned
- Jun 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine Rebecca Tusiime
- Title
- Ceo
- Phone
- (602) 489-6300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4040 E McDowell Rd Ste 308
Phoenix, AZ 85008-4447
Mailing address
8025 S 47TH LN
Laveen, AZ 85339-2393
Phone (602) 489-6300
National Provider Directory
National Provider DirectoryLocations
4040 E McDowell Rd
Ste 308
Phoenix, AZ 85008
Phone (602) 489-6300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Laveen, AZ
- NPI 1699467274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685577600000",
"number": "1801589007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8025 S 47TH LN",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853392393",
"telephone_number": "602-489-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 E MCDOWELL RD STE 308",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084447",
"telephone_number": "602-489-6300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GILGAL PHOENIX WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-01",
"last_updated": "2023-06-01",
"certification_date": "2023-05-29",
"status": "A",
"authorized_official_last_name": "TUSIIME",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "REBECCA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-489-6300"
},
"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 Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.