Individual provider Active NPI

Paul Eric Larralde, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1033546072
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP5217 Issued in AZ
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
859900MedicaidAZ
Z162628OtherAZMEDICARE
859900OtherAZAHCCCS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131219001544 AZ Practitioner - Nurse Practitioner 1153558176 Reassigns benefits to 1 organization

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
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

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

OrganizationSpecialtyStatusNew patients
Scottsdale Healthcare Corp. CurrentSince Sep 23, 2017 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Sep 23, 2017 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.