Organization Active NPI

Copper Health Consults PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Laveen, AZ
National Provider Identifier
1972310902
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
COPPER HEALTH CONSULTS PLLC
Practice address
10620 S 54TH Dr
Laveen, AZ 85339-4508
Phone
(623) 633-6374
NPI assigned
Dec 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Authorized official

Name
Babatomiwa Adesanya, PMHNPNPI 1578344511
Title
Ceo
Phone
(256) 504-6268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

10620 S 54TH Dr
Laveen, AZ 85339-4508

Mailing address

10620 S 54TH Dr
Laveen, AZ 85339-4508
Phone (623) 633-6374

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1972310902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 S 54TH DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853394508",
            "telephone_number": "623-633-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 S 54TH DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853394508",
            "telephone_number": "623-633-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER HEALTH CONSULTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "ADESANYA",
        "authorized_official_first_name": "BABATOMIWA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-504-6268",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.