Organization Active NPI

Metropolitan Neuro Behavioral Institute PLLC

  • Psychiatry Physician
  • Chandler, AZ
National Provider Identifier
1073608832
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
METROPOLITAN NEURO BEHAVIORAL INSTITUTE PLLC
Practice address
4055 W Chandler Blvd
Suite #5
Chandler, AZ 85226-3700
Phone
(480) 464-4431
Fax
(480) 464-2338
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Fnu Priyanka, MDNPI 1881866275
Title
Authorized Official
Phone
(559) 490-2067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

4055 W Chandler Blvd
Suite #5
Chandler, AZ 85226-3700

Mailing address

70 N McClintock Dr Ste 4
Chandler, AZ 85226-3711
Phone (480) 464-4431

Other identifiers 1

IdentifierTypeStateIssuer
1659364396OtherAZDR'S NPI #

National Provider Directory

National Provider Directory

Locations

550 W Baseline Rd
Ste 102359
Mesa, AZ 85210

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1073608832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 N MCCLINTOCK DR STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263711",
            "telephone_number": "480-464-4431",
            "fax_number": "480-464-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 W CHANDLER BLVD",
            "address_2": "SUITE #5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263700",
            "telephone_number": "480-464-4431",
            "fax_number": "480-464-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN NEURO BEHAVIORAL INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "PRIYANKA",
        "authorized_official_first_name": "FNU",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "559-490-2067",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR'S NPI #",
            "identifier": "1659364396",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.