1427779461 NPI number — MATRIX MENTAL HEALTH LLC

Table of content: (NPI 1427779461)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427779461 NPI number — MATRIX MENTAL HEALTH LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MATRIX MENTAL HEALTH LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427779461
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/13/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1846 E INNOVATION PARK DR STE 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ORO VALLEY
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85755-1963
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-830-8400
Provider Business Mailing Address Fax Number:
602-834-2100

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1846 E INNOVATION PARK DR STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ORO VALLEY
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85755-1963
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-830-8400
Provider Business Practice Location Address Fax Number:
602-834-2100
Provider Enumeration Date:
09/08/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
EKSTROM
Authorized Official First Name:
VINCENT
Authorized Official Middle Name:
Authorized Official Title or Position:
PSYCHIATRIC NURSE PRACTITIONER
Authorized Official Telephone Number:
602-489-9606

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)