Guided Med Spa

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

GUIDED MED SPA

Practice address

3820 N 3Rd St
Phoenix, AZ 85012-2022

Phone

(623) 594-6097

Fax

(623) 594-6960

NPI assigned

Aug 24, 2023

Organization subpart

No

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

Authorized official

Name

Semi AnthonyNPI 1871205138

Title

Ceo

Phone

(626) 376-2975

Specialties & licenses 5

Addresses

Practitioners 1

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

• Semi Anthony

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1871205138
  NPD Authorized official

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1992589311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122022",
            "telephone_number": "623-594-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122022",
            "telephone_number": "623-594-6097",
            "fax_number": "623-594-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDED MED SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "SEMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-376-2975"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Guggenmos, DO
• Jennifer Gugick, RN
• Bridgette Lynn Guhl, PA-C
• Guidance Physical Therapy & Wellness, PLLC
• Guide Anesthesia Az LLC
• Guidelight Health Services, LLC
• Guidepath Family Health LLC
• Paul M Guidera, M.D.
• Guiding Growth LLC
• Guiding Light Hospice Care Inc

• Adult Mental Health Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.