NPI Code Details Logo

NPI 1336051952

NPI 1336051952 : AZ MEDICAL & PSYCHIATRIC WELLNESS GROUP : PHOENIX, AZ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1336051952
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    AZ MEDICAL & PSYCHIATRIC WELLNESS GROUP 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/18/2026
-----------------------------------------------------
    Last Update Date     |    09/18/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3320 N 3RD AVE STE B 
-----------------------------------------------------
    City                 |    PHOENIX
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85013-4304
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    480-717-9511
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 16284 
-----------------------------------------------------
    City                 |    PHOENIX
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85011-6284
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    480-717-9511
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     STEPHANIE  ALMAGUER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    480-717-9511
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YP2500X
-----------------------------------------------------
    Taxonomy Name        |    Professional Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    171M00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Manager/Care Coordinator
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    261QM0850X
-----------------------------------------------------
    Taxonomy Name        |    Adult Mental Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.