Active NPI
Paul Eric Larralde, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP5217
- Practice address
- 6619 N Scottsdale Rd Ste 4
Scottsdale, AZ 85250-4421 - Phone
- (602) 910-6519
- Fax
- (602) 910-6519
- NPI assigned
- Oct 6, 2013
- Last updated
- Dec 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP5217 | AZ | Primary |
Addresses
Primary practice location
6619 N Scottsdale Rd Ste 4
Scottsdale, AZ 85250-4421
Mailing address
6619 N Scottsdale Rd Ste 4
Scottsdale, AZ 85250-4421
Phone (602) 910-6519
Other practice location 1
7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (480) 882-4000
Other practice location 2
19829 N 27th Ave
Phoenix, AZ 85027-4001
Phone (623) 879-6100
Other practice location 3
33400 N 32nd Ave
Phoenix, AZ 85085-8876
Phone (623) 580-5800
Other practice location 4
250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (602) 943-2381
Other practice location 5
7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255-4109
Phone (480) 324-7000
Other practice location 6
9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000
Other practice location 7
8414 E Shea Blvd Ste 102
Scottsdale, AZ 85260-6665
Phone (602) 910-6519
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 859900 | Medicaid | AZ | |
| Z162628 | Other | AZ | MEDICARE |
| 859900 | Other | AZ | AHCCCS |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scottsdale Healthcare Corp. | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Past | Accepting new patients |
Locations
250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255
Phone (480) 324-7000
9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383
Organizations & group practices 5
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.
-
dba HonorHealth Research Institute
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
dba Prestige Psychiatric Professionals
- Psychiatric/Mental Health Nurse Practitioner
- Scottsdale, AZ
- NPI 1437682614
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
dba Center for Endocrine and Pancreas Surgery at Scottsdale Healthcare
- Surgery Physician
- Scottsdale, AZ
- NPI 1255586483
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1275833915
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HonorHealth Sonoran Crossing Medical Center
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1265063010
-
dba HonorHealth Scottsdale Shea Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
dba HonorHealth Scottsdale Thompson Peak Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1417152745
-
dba HonorHealth John C. Lincoln Medical Center
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
-
dba HonorHealth Scottsdale Osborn Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1033546072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6619 N SCOTTSDALE RD STE 4",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852504421",
"telephone_number": "602-910-6519",
"fax_number": "602-910-6519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6619 N SCOTTSDALE RD STE 4",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852504421",
"telephone_number": "602-910-6519",
"fax_number": "602-910-6519"
}
],
"practiceLocations": [
{
"address_1": "7400 E Osborn Rd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852516432",
"country_code": "US",
"telephone_number": "480-882-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19829 N 27th Ave",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850274001",
"country_code": "US",
"telephone_number": "623-879-6100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "33400 N 32nd Ave",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850858876",
"country_code": "US",
"telephone_number": "623-580-5800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "250 E Dunlap Ave",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850202825",
"country_code": "US",
"telephone_number": "602-943-2381",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7400 E Thompson Peak Pkwy",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852554109",
"country_code": "US",
"telephone_number": "480-324-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9003 E Shea Blvd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852606709",
"country_code": "US",
"telephone_number": "480-323-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8414 E Shea Blvd Ste 102",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852606665",
"country_code": "US",
"telephone_number": "602-910-6519",
"fax_number": "602-910-6519",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARRALDE",
"first_name": "PAUL",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-06",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "AP5217",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "859900",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Z162628",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "859900",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.