Eclipse Psychiatry

LBN: Eclipse Psychiatry
Eclipse Psychiatry is an health care organization with primary practice located at 2152 S Vineyard Unit 113-114 , Mesa AZ 85210-6871. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Eclipse Psychiatry can be contacted via phone (623) 282-2047, or through Kimani, Anthony via phone (978) 697-0301.

Contact Information

Primary practice address
2152 S Vineyard Unit 113-114 Mesa AZ 85210-6871
Phone: (623) 282-2047
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kimani, Anthony PMHNP
Phone: (978) 697-0301

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1043888688
LBN Legal business name Eclipse Psychiatry
DBA Doing business as
Authorized official Kimani, Anthony PMHNP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2021
Last updated May 24th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043888688 NPPES
Arizona MEDICAID 1295370401

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