Organization Active NPI

Banner Alzheimer's Institute

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1013966712
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BANNER ALZHEIMER'S INSTITUTE
Practice address
2901 N Central Ave Ste 106
Phoenix, AZ 85012-2700
Phone
(602) 747-4000
NPI assigned
May 9, 2006
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BANNER HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric Reiman
Title
Ceo/Cso
Phone
(602) 747-4000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X NU
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

2901 N Central Ave Ste 106
Phoenix, AZ 85012-2700

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Other practice location 1

901 E Willetta St Fl 1
Phoenix, AZ 85006-2516
Phone (602) 839-6901

Other practice location 2

10515 W Santa Fe Dr
Bldg B 1st Fl
Sun City, AZ 85351-3020
Phone (623) 832-6530

Other practice location 3

1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone (602) 839-6901

Other practice location 4

901 E Willetta St Fl 3
Phoenix, AZ 85006-2528
Phone (602) 839-6901

Other practice location 5

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

Other identifiers 1

IdentifierTypeStateIssuer
092207MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060623000043 AZ Part B Supplier - Clinic/Group Practice 8527070101 Receives reassigned benefits from 37 practitioners
1 other NPI on this enrollment
Practice locations: Gilbert, AZ; Phoenix, AZ; Sun City, AZ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2030410Banner Alzheimer's Institute901 E Willetta St 1St Floor, Phoenix, AZ 85006Certificate of waiverSep 26, 2027

National Provider Directory

National Provider Directory
Part of
Big Horn Family Med

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1300 N 12th St
Ste 320
Phoenix, AZ 85006
Phone (602) 521-3050

2901 N Central Ave
Ste 106
Phoenix, AZ 85012

2626 E River Rd
Tucson, AZ 85718
Phone (520) 694-7021

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 54

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1013966712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N CENTRAL AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 N CENTRAL AVE STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122700",
            "telephone_number": "602-747-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 E Willetta St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062516",
            "country_code": "US",
            "telephone_number": "602-839-6901",
            "fax_number": "602-839-6253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10515 W Santa Fe Dr",
            "address_2": "Bldg B 1st Fl",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513020",
            "country_code": "US",
            "telephone_number": "623-832-6530",
            "fax_number": "623-832-6504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 N Higley Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852341604",
            "country_code": "US",
            "telephone_number": "602-839-6901",
            "fax_number": "602-839-6253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 E Willetta St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062528",
            "country_code": "US",
            "telephone_number": "602-839-6901",
            "fax_number": "602-839-6253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 E McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062612",
            "country_code": "US",
            "telephone_number": "602-839-2000",
            "fax_number": "602-839-3749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BANNER ALZHEIMER'S INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2006-05-09",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "REIMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO/CSO",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092207",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.