Provider Demographics
NPI:1144466707
Name:GROWTH PROCESS INTEGRATION, INCORPORATED
Entity type:Organization
Organization Name:GROWTH PROCESS INTEGRATION, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANGELO
Authorized Official - Last Name:BORDERS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, ABPP, FAACP
Authorized Official - Phone:520-826-0299
Mailing Address - Street 1:3300 N MESQUITE RD
Mailing Address - Street 2:
Mailing Address - City:COCHISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85606-8729
Mailing Address - Country:US
Mailing Address - Phone:520-826-0299
Mailing Address - Fax:520-826-0030
Practice Address - Street 1:3300 N MESQUITE RD
Practice Address - Street 2:
Practice Address - City:COCHISE
Practice Address - State:AZ
Practice Address - Zip Code:85606-8729
Practice Address - Country:US
Practice Address - Phone:520-826-0299
Practice Address - Fax:520-826-0030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-31
Last Update Date:2008-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3861103G00000X, 103TA0400X, 103TA0700X, 103TC2200X, 103TE1100X, 103TF0000X, 103TF0200X, 103TH0004X, 103TH0100X, 103TP0814X, 103TP2701X, 103TR0400X, 106H00000X, 146D00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & AgingGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & SportsGroup - Multi-Specialty
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamilyGroup - Multi-Specialty
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Multi-Specialty
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealthGroup - Multi-Specialty
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Multi-Specialty
No103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysisGroup - Multi-Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitationGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
11233203OtherCAQH
AZ3861OtherLICENSE
1275696924OtherINDIVIDUAL NPI
VA0810002999OtherLICENSE