Organization Active NPI

Light-Point Wellness, LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1871198085
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LIGHT-POINT WELLNESS, LLC
Practice address
400 W Pasadena Ave Apt 15
Phoenix, AZ 85013-2366
Phone
(480) 433-9312
NPI assigned
Dec 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Ms. Diana E Rosen, LAC
Title
Owner
Phone
(480) 433-9312

Specialties & licenses 1

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

Addresses

Primary practice location

400 W Pasadena Ave Apt 15
Phoenix, AZ 85013-2366

Mailing address

400 W Pasadena Ave Apt 15
Phoenix, AZ 85013-2366
Phone (480) 433-9312

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1871198085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W PASADENA AVE APT 15",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850132366",
            "telephone_number": "480-433-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W PASADENA AVE APT 15",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850132366",
            "telephone_number": "480-433-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT-POINT WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-433-9312",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC"
    },
    "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 Dec 3, 2020; 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.