Brian G Slayne, LISAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC-15201 Issued in AZ

Practice address

5151 E Pima St
Tucson, AZ 85712-3627

Phone

(520) 477-0227

Fax

(602) 325-2083

NPI assigned

Mar 2, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arizona Rehab Campus, LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1548067325
  NPD (past)
• Renewal Centers Inc

  • Pastoral Counselor
  • Tucson, AZ
  • NPI 1336265743
  NPD (past)
• Solace Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1023614609

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1962097956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 E GLENN ST APT 138",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192739",
            "telephone_number": "520-912-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 E PIMA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123627",
            "telephone_number": "520-477-0227",
            "fax_number": "602-325-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAYNE",
        "first_name": "BRIAN",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "LISAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-15201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inga Brianne Slade
• Stacia Slater, LMT
• James Edward Slattery, MD
• Nance Helene Slattery, RN LMFT CEAP
• Catelyn Slayback, MS
• Sleep Diagnostic & Research of Arizona
• Sleep Essential Systems LLC
• Sleep Medicine, LLC
• Sleep Science Mobile Sleep and Neuro Services, LLC
• Sleepless in Az, Inc.

• Addiction (Substance Use Disorder) Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.