Healthcare Provider Details

I. General information

NPI: 1871350967
Provider Name (Legal Business Name): CUTHERAPEUTICS L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2024
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 N ARIZONA AVE
CHANDLER AZ
85225-6699
US

IV. Provider business mailing address

1106 N ARIZONA AVE
CHANDLER AZ
85225-6699
US

V. Phone/Fax

Practice location:
  • Phone: 480-908-5288
  • Fax:
Mailing address:
  • Phone:
  • Fax: 480-908-5288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: CALVIN S SHIRVANIAN
Title or Position: PRESIDENT
Credential: PMHNP
Phone: 480-796-0333