Organization Active NPI

Upc-Phxmem-Clinic

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1831570852
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
UPC-PHXMEM-CLINIC
Practice address
1201 S 7TH Ave Ste 150
Phoenix, AZ 85007-4075
Phone
(602) 253-5100
Fax
(866) 882-5456
NPI assigned
Jun 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Dixie Lovrien
Title
Credentialing Manager
Phone
(602) 253-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1201 S 7TH Ave Ste 150
Phoenix, AZ 85007-4075

Mailing address

1201 S 7TH Ave Ste 150
Phoenix, AZ 85007-4075
Phone (602) 253-5100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1831570852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S 7TH AVE STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850074075",
            "telephone_number": "602-253-5100",
            "fax_number": "866-882-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S 7TH AVE STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850074075",
            "telephone_number": "602-253-5100",
            "fax_number": "866-882-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPC-PHXMEM-CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "LOVRIEN",
        "authorized_official_first_name": "DIXIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "602-253-5100"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult 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 16, 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.