Individual provider Active NPI

Nicole Danielle Garber, M.D.

  • Child & Adolescent Psychiatry Physician
  • Surprise, AZ
National Provider Identifier
1043470503
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
8177 Issued in AZ
Practice address
13945 W Grand Ave Ste 104
Surprise, AZ 85374-2437
Phone
(623) 878-2100
Fax
(623) 776-9419
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 8177 AZ Primary
Psychiatry Physician 2084P0800X 65030 AZ

Addresses

Primary practice location

13945 W Grand Ave Ste 104
Surprise, AZ 85374-2437

Mailing address

6677 W Thunderbird Rd Ste I164
Glendale, AZ 85306-3762
Phone (623) 878-2100

Other practice location 1

6677 W Thunderbird Rd Ste I164
Glendale, AZ 85306-3762
Phone (623) 878-2100

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210108002438 AZ Practitioner - Psychiatry 8426297615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Baylor College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Satinder S Purewal MD LLCGroup PAC ID 6507814191, 37 clinicians

Practice addresses (Care Compare)

6677 W Thunderbird Rd BLDG
Suite I164
Glendale, AZ 85306-3762
Phone (623) 878-2100

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
65.06
Promoting interoperability
98
Improvement activities
40
Cost
78.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
65030AZMDPsychiatry Physician
8177AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Satinder S. Purewal, M.D. LLC Psychiatry CurrentSince Mar 28, 2023 Accepting new patients
Satinder S. Purewal, M.D. LLC Psychiatry PastSince Feb 18, 2024 Accepting new patients
Blackbird Clinical Services Psychiatry PastSince Jul 9, 2025 Accepting new patients
Blackbird Clinical Services PC Child & Adolescent Psychiatry Past Accepting new patients
Community Intervention Associates, Inc. Past Accepting new patients
Children'S Integrated Center for Success Past Accepting new patients
Satinder S. Purewal, M.D. LLC Psychiatry PastSince Feb 18, 2024 Accepting new patients

Locations

42104 N Venture Dr
Ste D106
Anthem, AZ 85086
Phone (602) 493-0585

215 S Dobson Rd
Ste 4
Chandler, AZ 85224
Phone (623) 878-2100

5720 W Peoria Ave
Ste 101
Glendale, AZ 85302
Phone (623) 878-2100

6677 W Thunderbird Rd
Ste I164
Glendale, AZ 85306
Phone (623) 878-2100

13945 W Grand Ave
Ste 104
Surprise, AZ 85374
Phone (623) 878-2100

6891 N Oracle Rd
Ste 101
Tucson, AZ 85704
Phone (520) 416-7980

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHBDBD/Endpoint/IHBDBD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1043470503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE I164",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063762",
            "telephone_number": "623-878-2100",
            "fax_number": "623-776-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13945 W GRAND AVE STE 104",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742437",
            "telephone_number": "623-878-2100",
            "fax_number": "623-776-9419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6677 W Thunderbird Rd Ste I164",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853063762",
            "country_code": "US",
            "telephone_number": "623-878-2100",
            "fax_number": "623-776-9419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARBER",
        "first_name": "NICOLE",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "8177",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "65030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.