NPIMap

Individual provider Active NPI

Cory Jay Nielsen

  • Psychiatry Physician
  • Avondale, AZ
National Provider Identifier
1083279178
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
009762 Issued in AZ
Practice address
950 E Van Buren St
Avondale, AZ 85323-1506
Phone
(833) 855-9973
NPI assigned
May 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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 009762 AZ Primary

Addresses

Primary practice location

950 E Van Buren St
Avondale, AZ 85323-1506

Mailing address

8088 W Whitney Dr
Peoria, AZ 85345-6564

Other practice location 1

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (623) 512-3181

Other practice location 2

570 W Brown Rd
Mesa, AZ 85201-3227
Phone (480) 344-2028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710002763 AZ Practitioner - Psychiatry 0941745384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Midwestern University, Chicago College of Osteopathic Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
District Medical Group IncGroup PAC ID 7315086691, 454 clinicians

Practice addresses (Care Compare)

570 W Brown Rd
Mesa, AZ 85201-3227
Phone (480) 344-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc Current Accepting new patients
Maricopa County Special Health Care District CurrentSince Jun 25, 2024 Accepting new patients
Maricopa County Special Health Care District CurrentSince Jun 25, 2024 Accepting new patients
District Medical Group, Inc Psychiatry CurrentSince Aug 1, 2024 Accepting new patients
District Medical Group, Inc CurrentSince Aug 1, 2024 Accepting new patients
District Medical Group, Inc Psychiatry Past Accepting new patients

Locations

950 E Van Buren St
Avondale, AZ 85323
Phone (623) 344-6800

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

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000

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

Interoperability endpoints

  • Direct secure messaging: cnielsen132142@direct.valleywisehealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1083279178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8088 W WHITNEY DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E VAN BUREN ST",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231506",
            "telephone_number": "833-855-9973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 E Roosevelt St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850084973",
            "country_code": "US",
            "telephone_number": "623-512-3181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 W Brown Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852013227",
            "country_code": "US",
            "telephone_number": "480-344-2028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "CORY",
        "middle_name": "JAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-05",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "009762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.