Organization Active NPI

Biltmore Psychiatric Group

  • Psychosomatic Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1205054095
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
Legal business name
BILTMORE PSYCHIATRIC GROUP
Practice address
6245 N 24TH Pkwy
Ste 203
Phoenix, AZ 85016-2024
Phone
(602) 843-0035
Fax
(602) 843-8963
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert P Bevan, MD
Title
Director
Phone
(602) 843-0035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0015X Primary

Addresses

Primary practice location

6245 N 24TH Pkwy
Ste 203
Phoenix, AZ 85016-2024

Mailing address

6245 N 24TH Pkwy
Ste 203
Phoenix, AZ 85016-2024
Phone (602) 843-0035

National Provider Directory

National Provider Directory

Locations

8687 E Via de Ventura
Ste 305
Scottsdale, AZ 85258

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205054095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 N 24TH PKWY",
            "address_2": "STE 203",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162024",
            "telephone_number": "602-843-0035",
            "fax_number": "602-843-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 N 24TH PKWY",
            "address_2": "STE 203",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162024",
            "telephone_number": "602-843-0035",
            "fax_number": "602-843-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILTMORE PSYCHIATRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEVAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-843-0035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.