Resilient Integrated Treatment Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RESILIENT INTEGRATED TREATMENT CENTER LLC

Practice address

550 W Baseline Rd Ste 102-330
Mesa, AZ 85210-6040

Phone

(214) 971-3192

NPI assigned

May 2, 2022

Organization subpart

No

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

Authorized official

Name

Ikechi IkechiNPI 1083221006

Title

Owner

Phone

(214) 971-3192

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ikechi Alex Ikechi, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kirkland, WA
  • NPI 1083221006
  NPD (past) Authorized official
• Robert James, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Worth, TX
  • NPI 1215692520
  NPD (past)

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1922743202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W BASELINE RD STE 102-330",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W BASELINE RD STE 102-330",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106040",
            "telephone_number": "214-971-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT INTEGRATED TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "IKECHI",
        "authorized_official_first_name": "IKECHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-971-3192"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Resilient Roots Residential Care
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• Restora Hospital of Mesa, LLC

• Community/Behavioral Health Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.