Active NPI
Genhealth
- Psychiatry Physician
- Goodyear, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- GENHEALTH
- Practice address
- 14441 W McDowell Rd Ste B102
Goodyear, AZ 85395-2519 - Phone
- (480) 516-8037
- Fax
- (480) 400-4383
- NPI assigned
- Nov 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Ross, PHARMD
- Title
- Ceo
- Phone
- (480) 559-5260
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Nutritionist | 133N00000X | |||
| Pharmacist | 183500000X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Addiction Psychiatry Physician | 2084P0802X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
14441 W McDowell Rd Ste B102
Goodyear, AZ 85395-2519
Mailing address
14441 W McDowell Rd Ste B102
Goodyear, AZ 85395-2519
Phone (480) 516-8037
Other practice location 1
12211 W Bell Rd Ste 205
Surprise, AZ 85378-9522
Phone (480) 516-8037
Other practice location 2
7239 W Potomac Dr Ste 220
Boise, ID 83704-9168
Phone (480) 516-8037
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 729400 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2240450 | Genhealth | Certificate of waiver | Oct 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
14441 W McDowell Rd
Ste B102
Goodyear, AZ 85395
Phone (480) 504-7878
12211 W Bell Rd
Ste 205
Surprise, AZ 85378
Phone (602) 492-1871
7239 W Potomac Dr
Ste 220
Boise, ID 83704
Phone (480) 516-8037
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Goodyear, AZ
- NPI 1538417142
-
- Pharmacist
- Goodyear, AZ
- NPI 1770061327
-
- Clinical Psychologist
- Goodyear, AZ
- NPI 1144778176
-
- Psychiatric/Mental Health Nurse Practitioner
- Surprise, AZ
- NPI 1235743774
-
- Psychiatric/Mental Health Nurse Practitioner
- Scottsdale, AZ
- NPI 1932933314
-
- Psychiatric/Mental Health Nurse Practitioner
- Goodyear, AZ
- NPI 1487318515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739232000000",
"number": "1144799792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14441 W MCDOWELL RD STE B102",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952519",
"telephone_number": "480-516-8037",
"fax_number": "480-400-4383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14441 W MCDOWELL RD STE B102",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952519",
"telephone_number": "480-516-8037",
"fax_number": "480-400-4383"
}
],
"practiceLocations": [
{
"address_1": "12211 W Bell Rd Ste 205",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853789522",
"country_code": "US",
"telephone_number": "480-516-8037",
"fax_number": "480-210-7543",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7239 W Potomac Dr Ste 220",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837049168",
"country_code": "US",
"telephone_number": "480-516-8037",
"fax_number": "480-210-7543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GENHEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-13",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "480-559-5260",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "729400",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.