Organization · Type 2 NPI

Performance Intensive Outpatient, LLC

Adult Mental Health Clinic/Center · Scottsdale, AZ

NPI number 1861070260 Active

Practice location

9525 E Doubletree Ranch Rd Ste 105
Scottsdale, AZ 85258-5538

Specialties and licenses

Taxonomy	Code	License
Adult Mental Health Clinic/Center Primary	261QM0850X	None listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Other adult mental health clinic/center providers in Scottsdale

See all in Scottsdale →

NPI record

NPI: 1861070260
Entity type: Organization (Type 2)
Issued: Mar 30, 2021
Last updated: Jun 26, 2021
Status: Active

Other names

<unavail>
Performance Iop, LLC · doing business as
Performance Iop, LLC · doing business as

Authorized official

Benjamin Tyler Terrusa
Member/chief Administrative Officer
(818) 251-0123

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1861070260

Performance Intensive Outpatient, LLC's National Provider Identifier is 1861070260, issued on Mar 30, 2021. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Scottsdale, AZ. The record was last updated on Jun 26, 2021.