NPIMap

Organization Active NPI

Majestic Wellness Clinic Two

  • Addiction (Substance Use Disorder) Psychologist
  • Phoenix, AZ
National Provider Identifier
1932079035
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
Legal business name
MAJESTIC WELLNESS CLINIC TWO
Practice address
2720 E Thomas Rd Ste 200B
Phoenix, AZ 85016-8242
Phone
(800) 689-6958
Fax
(800) 689-6958
NPI assigned
Nov 5, 2025
Organization subpart
Yes
Parent organization
MAJESTIC WELLNESS CLINICS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Shafique Kakooza
Title
Authorized Official
Phone
(800) 689-6958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0400X Primary

Addresses

Primary practice location

2720 E Thomas Rd Ste 200B
Phoenix, AZ 85016-8242

Mailing address

2720 E Thomas Rd Ste 200B
Phoenix, AZ 85016-8242
Phone (800) 689-6958

National Provider Directory

National Provider Directory
Tax ID family
Majestic Wellness Clinic Two3 organizations share this tax ID, including this one
Part of
Majestic Wellness Clinic Two

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1932079035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 E THOMAS RD STE 200B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168242",
            "telephone_number": "800-689-6958",
            "fax_number": "800-689-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 E THOMAS RD STE 200B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168242",
            "telephone_number": "800-689-6958",
            "fax_number": "800-689-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC WELLNESS CLINIC TWO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAJESTIC WELLNESS CLINICS, INC.",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "KAKOOZA",
        "authorized_official_first_name": "SHAFIQUE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "800-689-6958"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "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 Nov 5, 2025; 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.