Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Greater Phoenix Collaborative Care PC

Organization Clinic/Center · NPI 1750686614

Greater Phoenix Collaborative Care PC is a Clinic/Center in Phoenix, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8041 N Black Canyon Hwy
Phoenix, AZ 85021-4876
Phone: (602) 249-0115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20040 N 19th Ave, Phoenix, AZ 85027-4255 — (623) 869-5000

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence OTC 4998 (AZ)

Record details

NPI number1750686614
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGreater Phoenix Collaborative Care PC
Authorized official Emily Castillo — Regional Manager · (702) 480-2550
NPI enumeratedJanuary 24, 2011
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing addressPo Box 35380, Medical Staff- Credentialing Dept., Las Vegas, NV 89133-5380

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