Active NPI
Denis Shub
- Psychiatry Physician
- Phoenix, AZ
National Provider Identifier
1033372875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 44308
- Practice address
- 2545 W. Quail Ave.
Phoenix, AZ 85027 - Phone
- (602) 455-5700
- Fax
- (602) 455-5859
- NPI assigned
- Jul 2, 2008
- Last updated
- Mar 25, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 44308 | AZ | Primary |
| Geriatric Psychiatry Physician | 2084P0805X | 44308 | AZ |
Addresses
Primary practice location
2545 W. Quail Ave.
Phoenix, AZ 85027
Mailing address
2545 W. Quail Ave.
Phoenix, AZ 85027
Phone (602) 455-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Geisel School of Medicine at Dartmouth, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2545 W Quail Ave
Phoenix, AZ 85027-2418
Phone (602) 455-5745
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44308 | AZ | MD | Geriatric Psychiatry Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427241600000",
"number": "1033372875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2545 W. QUAIL AVE.",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85027",
"telephone_number": "602-455-5700",
"fax_number": "602-455-5859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 W. QUAIL AVE.",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85027",
"telephone_number": "602-455-5700",
"fax_number": "602-455-5859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUB",
"first_name": "DENIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-02",
"last_updated": "2015-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "44308",
"primary": true
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "AZ",
"license": "44308",
"primary": false
}
],
"identifiers": [],
"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 Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.