Lateef Mental Wellness Inc

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

AP1782 Issued in AZ

Legal business name

LATEEF MENTAL WELLNESS INC

Practice address

7219 S 15TH Dr
Phoenix, AZ 85041-6930

Phone

(602) 406-5050

Fax

(623) 847-4047

NPI assigned

Apr 9, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Maryam H Lateef, MHNP

Title

President

Phone

(602) 403-5050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1302307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1811287097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26249",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850686249",
            "telephone_number": "602-403-5050",
            "fax_number": "623-847-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7219 S 15TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416930",
            "telephone_number": "602-406-5050",
            "fax_number": "623-847-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATEEF MENTAL WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-09",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "LATEEF",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-403-5050",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHNP"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "AZ",
            "license": "AP1782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyda Jane Latagliata, OTR/L
• Andrew Lataille, DO
• Lateef Behavioral Care
• Lateef Behavioral Care Home
• Lateef Behavioral Cares Home LLC
• Maryam H Lateef, MHNP
• Matthew James Latham, PT, DPT
• Preeti Lather
• Erika Wyneska Latimer del Valle
• Latino Care, LLC

• Prescribing (Medical) Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Prescribing (Medical) Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.