Active NPI
Ramiro Guillen, MD
- Child & Adolescent Psychiatry Physician
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 31653
- Practice address
- 11333 N Scottsdale Rd
Suite 280
Scottsdale, AZ 85254-5185 - Phone
- (480) 367-1500
- Fax
- (480) 367-1501
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 31653 | AZ | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 31653 | AZ | Primary |
Addresses
Primary practice location
11333 N Scottsdale Rd
Suite 280
Scottsdale, AZ 85254-5185
Mailing address
11333 N Scottsdale Rd
Suite 280
Scottsdale, AZ 85254-5185
Phone (480) 367-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 816142 | Medicaid | AZ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041108000784 | AZ | Practitioner - Psychiatry | 2062475346 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- District Medical Group Inc
Practice addresses (Care Compare)
570 W Brown Rd
Mesa, AZ 85201-3227
Phone (480) 344-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31653 | AZ | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Nervous System Center, P L L C | Child & Adolescent Psychiatry | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| Lifewell Behavioral Wellness | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Magellan Health Services of Arizona, Inc | Past | Accepting new patients | |
| Vo of Arizona, Inc. | Past | Accepting new patients | |
| Lifewell Behavioral Wellness | Past | Accepting new patients | |
| Southwest Behavioral Health Services, Inc. | Past | Accepting new patients | |
| District Medical Group, Inc | Psychiatry | Past | Accepting new patients |
| Lifewell Behavioral Wellness | Past | Accepting new patients | |
| Southwest Behavioral Health Services, Inc | Past | Accepting new patients | |
| Southwest Behavioral Health Services,Inc. | Past | Accepting new patients | |
| Southwest Behavioral Health Services, Inc. | Past | Accepting new patients | |
| Oakwood Creative Care Inc. | Past | Accepting new patients | |
| Southwest Behavioral Health Services Inc. | Past | Accepting new patients | |
| Southwest Behavioral Health Services, Inc. | Past | Accepting new patients | |
| Southwest Behavioral Health | Past | Accepting new patients | |
| Maricopa County Special Health Care District | Past | Accepting new patients |
Locations
262 E University Dr
Mesa, AZ 85201
Phone 60280828005539
6915 E Main St
Ste 200
Mesa, AZ 85207
570 W Brown Rd
Mesa, AZ 85201
Phone (480) 344-2000
3033 N Central Ave
Ste 700
Phoenix, AZ 85012
Phone (602) 281-7289
4451 E Oak St
Phoenix, AZ 85008
Phone (602) 957-2220
10844 N 23rd Ave
Ste 200
Phoenix, AZ 85029
Phone (602) 353-2340
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
3540 E Baseline Rd
Ste 150
Phoenix, AZ 85042
Phone (480) 739-5784
2715 N 3rd St
Phoenix, AZ 85004
Phone (602) 264-4331
5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
10844 N 23rd Ave
Ste 100
Phoenix, AZ 85029
Phone (602) 208-2800
11333 N Scottsdale Rd
Ste 240
Scottsdale, AZ 85254
Interoperability endpoints
- ramiro.guillenmd.p1@direct.lifewell.nextgenshare.com
- rguillen280102@direct.valleywisehealth.org
Organizations & group practices 19
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
AZ
-
- Child & Adolescent Psychiatry Physician
- Scottsdale, AZ
- NPI 1912591462
Child & Adolescent Psychiatry
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1093948275
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1720330194
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1982191284
-
- Case Management Agency
- Gilbert, AZ
- NPI 1194965145
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1073576740
-
- Adult Day Care Clinic/Center
- Mesa, AZ
- NPI 1114388626
-
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
- NPI 1023023603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1104993500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11333 N SCOTTSDALE RD",
"address_2": "SUITE 280",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852545185",
"telephone_number": "480-367-1500",
"fax_number": "480-367-1501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11333 N SCOTTSDALE RD",
"address_2": "SUITE 280",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852545185",
"telephone_number": "480-367-1500",
"fax_number": "480-367-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLEN",
"first_name": "RAMIRO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "31653",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "AZ",
"license": "31653",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "816142",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.