Organization
FASPSYCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA HANDY (DIRECTOR OF REVENUE CYCLE MGMT)
(480) 269-9248
Entity
Organization
Contact information
Practice address
8687 E VIA DE VENTURA STE 310, SCOTTSDALE, AZ 85258-3351
(480) 970-9097
(480) 970-5318
Mailing address
8687 E VIA DE VENTURA STE 310, SCOTTSDALE, AZ 85258-3351
(480) 970-9097
(480) 970-5318
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008018
—
AZ
05
—
1831682111
—
NC
05
—
300041510
—
IN
05
—
7100691170
—
KY
05
—
Q051954
—
TN
Enumeration date
06/11/2018
Last updated
04/09/2021
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