Individual provider Active NPI

Fernando Peixoto Grabner, MD

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1104321389
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
64718 Issued in AZ
Practice address
9250 W Thomas Rd Ste 100
Phoenix, AZ 85037-3383
Phone
(602) 610-1191
Fax
(602) 835-0559
NPI assigned
Mar 28, 2018
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2025-00661 NC
Psychiatry Physician 2084P0800X 64718 AZ Primary
Psychiatry Physician 2084P0800X U3405 TX
Psychiatry Physician 2084P0800X 11854650-1205 UT

Addresses

Primary practice location

9250 W Thomas Rd Ste 100
Phoenix, AZ 85037-3383

Mailing address

9250 W Thomas Rd Ste 100
Phoenix, AZ 85037-3383
Phone (602) 610-1191

Other practice location 1

1615 Polo Rd
Winston Salem, NC 27106-3831
Phone (336) 722-7266

Other practice location 2

1910 S Stapley Dr Ste 120
Mesa, AZ 85204-6676
Phone (520) 447-1606

Other practice location 3

2450 E Guadalupe Rd Ste 103
Gilbert, AZ 85234-5116
Phone (602) 610-1191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190507000645 TX Practitioner - Psychiatry 9335481670 Reassigns benefits to 6 organizations
I20220613000503 AZ Practitioner - Psychiatry 9335481670 Reassigns benefits to 2 organizations
I20250429004129 NC Practitioner - Psychiatry 9335481670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Border Region MH Mr Community CenterGroup PAC ID 0648207381, 19 clinicians
Burke CenterGroup PAC ID 1254312077, 28 clinicians
Bella Vida TMS LLCGroup PAC ID 7810340874, 9 clinicians

Practice addresses (Care Compare)

101 1St St
Zapata, TX 78076-3319
Phone (956) 794-9664

110 S 12TH St
Waco, TX 76701-1810
Phone (254) 297-7124

1500 Pappas St
Laredo, TX 78041-1701
Phone (956) 794-3000

2001 S Medford Dr
Lufkin, TX 75901-6260
Phone (936) 633-5672

6800 Park Ten Blvd
San Antonio, TX 78213-4293
Phone (210) 261-1000

9250 W Thomas Rd
Suite 100
Phoenix, AZ 85037-3383
Phone (602) 610-1191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64718AZMDPsychiatry Physician
2025-00661NCMDPsychiatry Physician
11854650-1205UTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Border Region MH Mr Community Center Family Medicine CurrentSince Jul 30, 2024 Accepting new patients
Wellmood PLLC Psychiatry CurrentSince Apr 15, 2025 Accepting new patients
Bella Vida TMS LLC Psychiatry CurrentSince Aug 27, 2025 Accepting new patients
The Gulf Coast Center Psychiatry CurrentSince Feb 10, 2026 Accepting new patients
Mood Treatment Center, PLLC Psychiatry CurrentSince Apr 15, 2025 Accepting new patients
Burke Center Psychiatry CurrentSince Nov 1, 2024 Accepting new patients
Heart of Texas Region MHMR Center CurrentSince Jul 1, 2024 Accepting new patients
Bexar County Board of Trustees for Mental Health Mental Retardation Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Bexar County Board of Trustees for Mental Health Mental Retardation CurrentSince Jun 1, 2024 Accepting new patients
Texana Center CurrentSince May 20, 2024 Accepting new patients
Burke Center PastSince Nov 1, 2024 Accepting new patients

Locations

2450 E Guadalupe Rd
Ste 103
Gilbert, AZ 85234
Phone (480) 907-6818

9250 W Thomas Rd
Ste 100
Phoenix, AZ 85037
Phone (602) 610-1191

104 Cambridge Plaza Dr
Winston Salem, NC 27104
Phone (333) 722-7266

1615 Polo Rd
Winston Salem, NC 27106
Phone 33672272662304

4444 W Main St
League City, TX 77573
Phone (281) 640-0218

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

4910 Airport Ave
Ste A
Rosenberg, TX 77471
Phone (281) 239-1300

4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300

601 N Frio St
#1
San Antonio, TX 78207
Phone (210) 225-5481

6800 Park Ten Blvd
Ste 200S
San Antonio, TX 78213
Phone 21026110001060

7510 FM 1765
Texas City, TX 77591
Phone (409) 935-6083

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

Interoperability endpoints

  • Direct secure messaging: 2ndchancetreatmentcenters.fernandograbner@154160.advancedmd-direct.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1104321389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 W THOMAS RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373383",
            "telephone_number": "602-610-1191",
            "fax_number": "602-835-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 W THOMAS RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373383",
            "telephone_number": "602-610-1191",
            "fax_number": "602-835-0559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Polo Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271063831",
            "country_code": "US",
            "telephone_number": "336-722-7266",
            "fax_number": "336-201-0538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 S Stapley Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852046676",
            "country_code": "US",
            "telephone_number": "520-447-1606",
            "fax_number": "520-244-3835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 E Guadalupe Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852345116",
            "country_code": "US",
            "telephone_number": "602-610-1191",
            "fax_number": "602-835-0559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRABNER",
        "first_name": "FERNANDO",
        "middle_name": "PEIXOTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2025-00661",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "64718",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "U3405",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "11854650-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.