Individual provider Active NPI

Nancy M Martin-Concepcion, M.D.

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1144308453
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
33305 Issued in AZ
Practice address
8836 N 23Rd Ave Ste B1
Phoenix, AZ 85021-4175
Phone
(602) 944-9810
Fax
(602) 944-1547
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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 33305 AZ Primary

Addresses

Primary practice location

8836 N 23Rd Ave Ste B1
Phoenix, AZ 85021-4175

Mailing address

8836 N 23Rd Ave Ste B1
Phoenix, AZ 85021-4175
Phone (602) 944-9810

Other identifiers 1

IdentifierTypeStateIssuer
899247MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33305AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magellan Health Services Past Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients
Magellan Healthcare, Inc. PastSince May 16, 2021 Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients
Magellan Health Services of Arizona, Inc Past Accepting new patients

Organizations & group practices 5

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1144308453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8836 N 23RD AVE STE B1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214175",
            "telephone_number": "602-944-9810",
            "fax_number": "602-944-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8836 N 23RD AVE STE B1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214175",
            "telephone_number": "602-944-9810",
            "fax_number": "602-944-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-CONCEPCION",
        "first_name": "NANCY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "33305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899247",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.