NPIMap

Organization Active NPI

Arizona Integrated Medicine, LLC

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1891102265
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ARIZONA INTEGRATED MEDICINE, LLC
Practice address
6336 N Oracle Rd Ste 326-276
Tucson, AZ 85704-5480
Phone
(520) 907-1730
Fax
(520) 797-3250
NPI assigned
Jul 17, 2014
Last updated
Jul 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Dr. Susan Ellen Hegemeyer, DBH
Title
Chief Executive Officer
Phone
(520) 907-1730

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Social Worker 104100000X NU

Addresses

Primary practice location

6336 N Oracle Rd Ste 326-276
Tucson, AZ 85704-5480

Mailing address

6336 N Oracle Rd Ste 326276
Tucson, AZ 85704-5480
Phone (520) 907-1730

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1891102265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6336 N ORACLE RD STE 326276",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045480",
            "telephone_number": "520-907-1730",
            "fax_number": "520-797-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6336 N ORACLE RD STE 326-276",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045480",
            "telephone_number": "520-907-1730",
            "fax_number": "520-797-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA INTEGRATED MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "HEGEMEYER",
        "authorized_official_first_name": "SUSAN ELLEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "520-907-1730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

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