Individual provider Active NPI

Trudy Lynn Dockins, D.O.

  • Psychiatry Physician
  • Mesa, AZ
National Provider Identifier
1063723807
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
006128 Issued in AZ
Practice address
4330 E University Dr
Mesa, AZ 85205-7004
Phone
(480) 218-3280
Fax
(480) 324-2463
NPI assigned
Jun 26, 2010
Last updated
Jul 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 006128 AZ Primary

Addresses

Primary practice location

4330 E University Dr
Mesa, AZ 85205-7004

Mailing address

4330 E University Dr
Mesa, AZ 85205-7004
Phone (480) 218-3280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Recovery, LLC CurrentSince Jul 8, 2013 Accepting new patients
Partners in Recovery, LLC CurrentSince Jul 8, 2013 Accepting new patients
Partners in Recovery, LLC Current Accepting new patients

Locations

5625 W Bell Rd
Glendale, AZ 85308
Phone (480) 653-0167

4330 E University Dr
Mesa, AZ 85205
Phone (480) 218-3280

924 N Country Club Dr
Mesa, AZ 85201
Phone (480) 696-3800

10240 N 31st Ave
Ste 200
Phoenix, AZ 85051
Phone (602) 395-1700

811 N Tegner St
Ste 121
Wickenburg, AZ 85390
Phone (928) 684-0600

Organizations & group practices 3

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": "1277510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1063723807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057004",
            "telephone_number": "480-218-3280",
            "fax_number": "480-324-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057004",
            "telephone_number": "480-218-3280",
            "fax_number": "480-324-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKINS",
        "first_name": "TRUDY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-26",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "006128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.