Vital Male Scottsdale LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

091121 Issued in AZ

Legal business name

VITAL MALE SCOTTSDALE LLC

Practice address

11000 N Scottsdale Rd
Ste. 145
Scottsdale, AZ 85254-6130

Phone

(480) 998-4825

Fax

(480) 219-5173

NPI assigned

Oct 17, 2014

Organization subpart

Yes

Parent organization

THE MOTHERSHIP LLCAs reported in NPPES

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

Authorized official

Name

Mr. James Thomas Phillips

Title

President

Phone

(480) 998-4825

Specialties & licenses 1

Addresses

Other names 1

• The Vital Male Scottsdale Doing business as

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1821492091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD",
            "address_2": "STE. 145",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546130",
            "telephone_number": "480-998-4825",
            "fax_number": "480-219-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD",
            "address_2": "STE. 145",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546130",
            "telephone_number": "480-998-4825",
            "fax_number": "480-219-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL MALE SCOTTSDALE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MOTHERSHIP LLC",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-998-4825",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "091121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vital Male Scottsdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vista Mobile Health, LLC
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• Bryan Vitagliano, PT, DPT, MBA, MA
• Christopher Gene Vitagliano, D.M.D
• Lynne Vitagliano, LCSW
• Vital Palliative Care, LLC
• Vitala Healthcare, LLC
• Vitalab Pharmacy Inc
• Vitalant
• Vitality Slim Clinic Limited Liability Company

• Naturopath in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Naturopath in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.