Organization Active NPI

Wildflower Psychiatry PC

  • Psychiatry Physician
  • Tucson, AZ
National Provider Identifier
1174257570
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WILDFLOWER PSYCHIATRY PC
Practice address
6602 E Carondelet Dr
Tucson, AZ 85710-2119
Phone
(520) 314-0820
NPI assigned
Jul 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Dr. Rajan Grewal Dunne, DO
Title
President
Phone
(520) 314-0820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

6602 E Carondelet Dr
Tucson, AZ 85710-2119

Mailing address

1846 E Innovation Park Dr Ste 100
Oro Valley, AZ 85755-1963

Other practice location 1

880 Cass St
Monterey, CA 93940-2947
Phone (520) 314-0820

Other names 1

  • Wildflower Psychiatry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1174257570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 E INNOVATION PARK DR STE 100",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102119",
            "telephone_number": "520-314-0820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 Cass St",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939402947",
            "country_code": "US",
            "telephone_number": "520-314-0820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILDFLOWER PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "DUNNE",
        "authorized_official_first_name": "RAJAN",
        "authorized_official_middle_name": "GREWAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-314-0820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wildflower Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wildflower Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.