Individual provider Active NPI

Stephen Mecham, DO

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1083068050
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
007421 Issued in AZ
Practice address
925 E McDowell Rd FL 4
Phoenix, AZ 85006-2502
Phone
(602) 857-8182
NPI assigned
Apr 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 007421 AZ Primary

Addresses

Primary practice location

925 E McDowell Rd FL 4
Phoenix, AZ 85006-2502

Mailing address

925 E McDowell Rd FL 4
Phoenix, AZ 85006-2502
Phone (602) 857-8182

Other identifiers 2

IdentifierTypeStateIssuer
007421OtherAZSTATE LICENSE NUMBER
16628OtherCASTATE LICENSE NUMBER

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
I20180702002215 AZ Practitioner - Psychiatry 1759648348 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Arizona College of Osteopathic Medicine Mid Western University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agave Solutions PLLCGroup PAC ID 0941625651, 12 clinicians

Practice addresses (Care Compare)

2190 N Grace Blvd
Chandler, AZ 85225-3416
Phone (480) 955-0937

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Behavioral Healthcare - Tempe, LLC Psychiatry CurrentSince Aug 11, 2019 Accepting new patients
District Medical Group, Inc CurrentSince Jun 1, 2020 Accepting new patients
District Medical Group, Inc CurrentSince Jun 1, 2020 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Agave Solutions PLLC Psychiatry CurrentSince Jun 1, 2020 Accepting new patients
Southwestern Children'S Health Services, Inc. Past Accepting new patients
Copper Springs Hospital, LLC Past Accepting new patients
Agave Psychiatry PLLC Psychiatry PastSince Feb 11, 2024 Accepting new patients
District Medical Group, Inc Psychiatry Past Accepting new patients
Mesa Development Sub, LLC Past Accepting new patients
Southwestern Children'S Health Services, Inc Past Accepting new patients

Locations

10550 W McDowell Rd
Avondale, AZ 85392
Phone (480) 565-3035

2190 N Grace Blvd
Chandler, AZ 85225
Phone (480) 470-0069

20118 N 67th Ave
Ste 300609
Glendale, AZ 85308
Phone (602) 857-8182

570 W Brown Rd
Mesa, AZ 85201
Phone (480) 344-2000

3322 S Ellsworth Rd
Mesa, AZ 85212
Phone (505) 531-0818

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

16841 N 31st Ave
Ste 170
Phoenix, AZ 85053
Phone (602) 521-3611

17300 N Dysart Rd
Surprise, AZ 85378
Phone (480) 719-6554

6350 S Maple Ave
Tempe, AZ 85283
Phone (480) 345-5400

Interoperability endpoints

  • Direct secure messaging: stephenmecham@destiny-springs-hc.direct.kno2fy.com
  • Direct secure messaging: smecham80483@direct.valleywisehealth.org

Organizations & group practices 11

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": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1083068050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 E MCDOWELL RD FL 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062502",
            "telephone_number": "602-857-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E MCDOWELL RD FL 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062502",
            "telephone_number": "602-857-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECHAM",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-15",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "007421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "007421",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "16628",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.