Roberto Agustin Peart, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1010 Issued in AZ

Practice address

1144 E McDowell Rd
200
Phoenix, AZ 85006-2664

Phone

(602) 307-5330

NPI assigned

Sep 26, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

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

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.

• Prisma Community Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1104929504
  NPD (past)

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1063763316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 S YUCCA",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025753",
            "telephone_number": "480-839-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 E MCDOWELL RD",
            "address_2": "200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062664",
            "telephone_number": "602-307-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEART",
        "first_name": "ROBERTO",
        "middle_name": "AGUSTIN",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "1010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "1010",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Pearson, MS, RD
• Perry Pearson, PHARMD
• S. Beth Pearson, R.N.
• Stanley E Pearson, MD
• Virginia Karen Pearson, SLP
• Timothy Alexander Pease, BCBA
• Pamela Barbour Peat, CNP
• Eric M Peay, DDS DOCTOR OF DENTAL
• Melissa Pecak, FNP-C
• Linnus S. Pecaut, PH.D.

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.