| NPI | 1194609420 |
|---|---|
| Former Legal Business Name | PHYSICIAN PAY GROUP LLC |
| Entity Type | Organization |
| Authorized Contact | ALI-ANDRA OTTUN CEO 480-321-6627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 163WC0400X Registered Nurse, Case Management | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 207PE0004X Emergency Medicine, Emergency Medical Services | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-08-01 |