# PSYCH 48

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871473090
- **Authorized official:** DR. ADAM RODRIGUEZ DNP (OWNER)
- **Authorized official phone:** (480) 544-1884

## Contact information

- **Practice address:** 7127 W IRWIN AVE, LAVEEN, AZ 85339-7039
- **Practice address phone:** (480) 544-1884
- **Mailing address:** 7127 W IRWIN AVE, LAVEEN, AZ 85339-7039
- **Mailing address phone:** (480) 544-1884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2025
- **Last updated:** 09/08/2025