Provider Demographics
NPI:1437524733
Name:PINNACLE CENTER, INC.
Entity type:Organization
Organization Name:PINNACLE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAIR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:602-334-1353
Mailing Address - Street 1:4131 N 24TH ST STE C203
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-6256
Mailing Address - Country:US
Mailing Address - Phone:602-334-1353
Mailing Address - Fax:602-296-5337
Practice Address - Street 1:4131 N 24TH ST STE C203
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-6256
Practice Address - Country:US
Practice Address - Phone:602-334-1353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-11
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
AZ4540103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty