DR. KEVIN CRISHAM (NPI# 1871762203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871762203 |
| Entity Type | Individual |
| Full Name | DR. KEVIN CRISHAM |
| Credential | M.D. |
| Practice Address |
8836 N 23rd Ave B1 Phoenix AZ 85021-4185 |
| Mailing Address |
3003 N Central Ave Suite 200 Phoenix AZ 85012-2902 |
| Practice Telephone | 6029449810 |
| Practice Fax Number | 6022167040 |
| Mailing Telephone | 6026856000 |
| Mailing Fax Number | 6023027925 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2016-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
12209 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 285751 | 05 |
| Street Address |
8836 N 23RD AVE B1 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85021-4185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518911437 | Michelle Ann Carlin | Nurse Practitioner | 8836 N 23rd Ave, Phoenix, AZ 85021-4185 | 2006-05-22 |
| 1508296922 | Donald Horne | Nurse Practitioner | 8836 N 23rd Ave, Suite B-1, Phoenix, AZ 85021-4185 | 2013-11-21 |
| 1033558788 | Ehsan Sarabi | Psychiatry & Neurology | 8836 N 23rd Ave, B1, Phoenix, AZ 85021-4185 | 2013-06-17 |
| 1538393764 | Todd William Andre | Counselor | 8836 N 23rd Ave, B-1, Phoenix, AZ 85021-4185 | 2009-05-01 |
| 1669619136 | Tammy D Low | Registered Nurse | 8836 N 23rd Ave, Suite B-1, Phoenix, AZ 85021-4185 | 2009-01-20 |
| 1013154582 | Melody L Butcher | Registered Nurse | 8836 N 23rd Ave, Suite B-1, Phoenix, AZ 85021-4185 | 2009-01-20 |
| 1245483411 | Choices Network of Arizona, Inc. | Community/Behavioral Health | 8836 N 23rd Ave, Suite B-1, Phoenix, AZ 85021-4175 | 2008-10-31 |
| 1558559682 | Jon David Allison | Psychiatry & Neurology | 8836 N 23rd Ave, B1, Phoenix, AZ 85021-4185 | 2007-10-15 |
| 1518183441 | Robert Beale | Pharmacist | 8836 N 23rd Ave, Phoenix, AZ 85021-4185 | 2007-04-18 |
| 1457476160 | Magellan Health Services of Arizona, Inc. | Case Management | 8836 N 23rd Ave, Ste B-1, Phoenix, AZ 85021-4185 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
| 1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1841832664 | Madison Westby | Physical Therapist | 717 W Dunlap Ave # 100, Phoenix, AZ 85021 | 2019-10-14 |
| 1861967481 | Southwest Family Naturopathic Clinic Pllc | Naturopath | 1530 W Glendale Ave Suite 103, Phoenix, AZ 85021 | 2018-10-10 |
| 1184101461 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8804 N 23rd Ave, Suite A01/a02, Phoenix, AZ 85021 | 2018-07-19 |
| 1568970150 | Alycia Ann Poloni | Occupational Therapist | 7129 N 23d Ave, Phoenix, AZ 85021 | 2018-01-17 |
| 1154839165 | Cyrus Professional Corporation | Dentist | 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021 | 2018-01-12 |
| 1568980779 | Marla Jean Clay | Licensed Practical Nurse | 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 | 2017-09-07 |
| 1801325162 | Kaitlin King | Nurse Practitioner | 8824 N 9th Ave, Phoenix, AZ 85021 | 2017-06-08 |
| Find all providers in zip 85021 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689922 | Cerebro Wellness LLC | Psychiatry & Neurology | 3031 W Northern Ave Ste 109, Phoenix, AZ 85051-6695 | 2020-08-11 |
| 1972121218 | Laxus Integrated Health Solutions LLC | Psychiatry & Neurology | 11225 N 28th Dr Ste A102-4, Phoenix, AZ 85029-5606 | 2020-07-13 |
| 1184257032 | Actify Neurotherapies, Pllc | Psychiatry & Neurology | 10720 W Indian School Rd Ste 19, Phoenix, AZ 85037-5799 | 2020-02-19 |
| 1912461856 | Mobile Medical LLC | Psychiatry & Neurology | 4120 N 108th Ave Ste 116, Phoenix, AZ 85037-5773 | 2019-01-24 |
| 1063900835 | Arizona Tms Therapy Center | Psychiatry & Neurology | 4602 N 16th St Ste 201, Phoenix, AZ 85016-5161 | 2018-04-27 |
| 1427565977 | Tanner Community Development Corporation | Psychiatry & Neurology | 700 E Jefferson St Ste 200, Phoenix, AZ 85034-2202 | 2018-01-05 |
| 1457860561 | Bianca Yvonne Lopez | Psychiatry & Neurology | 3001 N. 33rd Ave, Phoenix, AZ 85017 | 2017-09-21 |
| 1538683081 | Az Sober Living & Behavioral Health Group, LLC | Psychiatry & Neurology | 2920 N 24th Ave Ste 120, Phoenix, AZ 85015-5958 | 2017-07-26 |
| 1558715490 | Aaron Kramer | Psychiatry & Neurology | 16841 N 31st Ave Ste 170, Phoenix, AZ 85053-3080 | 2016-04-18 |
| 1104244300 | Jacob N Stein | Psychiatry & Neurology | 12424 N 32nd St Ste 100, Phoenix, AZ 85032-7156 | 2014-04-03 |
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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.