Organization
NEXT GEN MEDICUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL ALEJO (CREDENTIALING SUPERVISOR)
(480) 703-1883
Entity
Organization
Contact information
Practice address
2075 S COTTONWOOD DR, TEMPE, AZ 85282-3040
(602) 362-1823
Mailing address
2075 S COTTONWOOD DR, TEMPE, AZ 85282-3040
(602) 362-1823
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44177
AZ LICENSE
AZ
05
—
595199
—
AZ
Enumeration date
06/07/2019
Last updated
09/04/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us