Provider Demographics
NPI:1083349831
Name:MOUNTAIN VIEW PSYCHIATRIC SOLUTIONS
Entity Type:Organization
Organization Name:MOUNTAIN VIEW PSYCHIATRIC SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGGIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-404-3678
Mailing Address - Street 1:22925 N 46TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-8854
Mailing Address - Country:US
Mailing Address - Phone:847-404-3678
Mailing Address - Fax:
Practice Address - Street 1:14301 N 87TH ST STE 303
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3690
Practice Address - Country:US
Practice Address - Phone:847-404-3678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-17
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty