Dwight Faught, DNP, RN. PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP7552 Issued in AZ

Practice address

4330 E University Dr
Mesa, AZ 85205-7004

Phone

(480) 218-3280

NPI assigned

Dec 11, 2012

Last updated

Dec 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Partners in Recovery, LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1922232925
  Medicare reassignment NPD
• Partners in Recovery, LLC

  • Adult Mental Health Clinic/Center
  • Mesa, AZ
  • NPI 1083929095
  NPD
• Partners in Recovery, LLC

  dba ACT Metro IHH

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1306698436
  NPD

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639785600000",
    "number": "1093050494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 FENWICK DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022112"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7373 N Scottsdale Rd Ste 187 to 189",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852533559",
            "country_code": "US",
            "telephone_number": "480-524-0990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUGHT",
        "first_name": "DWIGHT",
        "name_prefix": "Dr.",
        "credential": "DNP, RN. PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-11",
        "last_updated": "2021-12-18",
        "certification_date": "2021-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024170328",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP7552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Anne Fassett, LCSW
• Nathaniel Fastenberg, MD
• Fatima Health LLC (Optimal Health Medical Clinic)
• Fatima Pharmacy, LLC
• Olubadewa Fatunde, MD
• William Ernest Faught Jr., SA-C
• Kenzie Fauset, DPT
• Dean C Faust, D.O.
• Stepanie Faust, LAC
• Elisa M Faybush, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.