GEROPSYCHMD LLC (NPI# 1467060343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467060343 |
| Entity Type | Organization |
| Organization Name | GEROPSYCHMD LLC |
| Practice Address |
9618 N 35th Pl Phoenix AZ 85028-4934 |
| Practice Telephone | 6029302248 |
| Practice Fax Number | 6233999958 |
| Mailing Telephone | 6029302248 |
| Mailing Fax Number | 6233999958 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | AMY J FRAZIER (PHYSICIAN/SOLE MEMBER) |
| Authorized Official Telephone | 6029302248 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 28771 | 28771 | 01 |
| Street Address |
9618 N 35TH PL |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-4934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366506263 | Naeem Amanullah Pathan | Psychiatry & Neurology | 3450 N 3rd St, Phoenix, AZ 85012-2331 | 2006-12-22 |
| 1871693952 | Amy Johanna Frazier | Psychiatry & Neurology | 650 East Indian School Rd, Phoenix, AZ 85012-1839 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760984215 | Ascension Medical LLC | Psychiatry & Neurology | 9590 E Ironwood Sq Suite 210, Scottsdale, AZ 85258 | 2018-03-01 |
| 1700170271 | Arizona Advanced Health Services LLC | Psychiatry & Neurology | 10770 E Becker Ln, Scottsdale, AZ 85259-3868 | 2011-06-02 |
| 1033556089 | Northern Arizona Healthcare Provider Group, LLC | Psychiatry & Neurology | 269 South Candy Lane, Cottonwood, AZ 86326-4158 | 2013-05-31 |
| 1821294745 | Dennis C. Westin, M.d. P.C. | Psychiatry & Neurology | 5240 E Knight Dr Ste 120, Tucson, AZ 85712-2122 | 2007-06-26 |
| 1376658633 | Donald J Curran Do Pllc | Psychiatry & Neurology | 401 S Calvary Way, Suite B, Cottonwood, AZ 86326-4165 | 2006-08-20 |
| 1710903414 | Daniel S. Cohen | Psychiatry & Neurology | 5425 N Oracle Rd # 115, Tucson, AZ 85704-3890 | 2006-07-14 |
| 1912952136 | Matthew T Malone | Psychiatry & Neurology | 1551 E Tangerine Rd, Oro Valley, AZ 85755-6213 | 2006-05-24 |
| 1922056746 | Donald J Curran | Psychiatry & Neurology | 294 W State Route 89a, Suite 212, Cottonwood, AZ 86326-3754 | 2006-05-04 |
| 1043276918 | Arif Husain | Psychiatry & Neurology | 3505 Western Ave, Kingman, AZ 86409-3071 | 2006-04-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.