Individual provider Active NPI

John Justin Blount, MD

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1205948692
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
46743 Issued in AZ
Practice address
1840 N 95TH Ave Ste 132
Phoenix, AZ 85037-4445
Phone
(623) 932-6950
Fax
(623) 872-6091
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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 46743 AZ Primary

Addresses

Primary practice location

1840 N 95TH Ave Ste 132
Phoenix, AZ 85037-4445

Mailing address

2700 N Central Ave Ste 1050
Phoenix, AZ 85004-1217
Phone (602) 266-8402

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121220000450 AZ Practitioner - Psychiatry 5890963409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest NetworkGroup PAC ID 2567560659, 26 clinicians

Practice addresses (Care Compare)

2444 E University Dr
Suite 150
Phoenix, AZ 85034-6934
Phone (602) 304-0014

Merit-based Incentive Payment System (MIPS)

Final score
97.32 of 100Reported as group
Quality
85.03
Promoting interoperability
99
Improvement activities
40
Cost
90.19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Network Current Accepting new patients
Southwest Network, Inc. CurrentSince Oct 17, 2012 Accepting new patients
Southwest Network CurrentSince Oct 17, 2012 Accepting new patients

Locations

3140 N Arizona Ave
Ste 113
Chandler, AZ 85225
Phone (480) 497-4040

1465 W Chandler Blvd
Bldg A
Chandler, AZ 85224
Phone (480) 786-8200

9051 W Kelton Ln
Ste 13
Peoria, AZ 85382
Phone (623) 815-5700

2444 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (602) 304-0014

1840 N 95th Ave
Ste 132
Phoenix, AZ 85037
Phone (623) 932-6950

2700 N Central Ave
Ste 1050
Phoenix, AZ 85004
Phone (602) 266-8402

3227 E Bell Rd
Ste 170
Phoenix, AZ 85032
Phone (480) 719-7383

2311 W Royal Palm Rd
Phoenix, AZ 85021
Phone (602) 269-5300

Organizations & group practices 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1205948692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N CENTRAL AVE STE 1050",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041217",
            "telephone_number": "602-266-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N 95TH AVE STE 132",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374445",
            "telephone_number": "623-932-6950",
            "fax_number": "623-872-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUNT",
        "first_name": "JOHN",
        "middle_name": "JUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-09-22",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "46743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.