Joaquin B Bermudez DO PC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

JOAQUIN B BERMUDEZ DO PC

Practice address

1800 E Van Buren St
Phoenix, AZ 85006-3742

Phone

(602) 251-8736

NPI assigned

Jan 7, 2020

Last updated

Feb 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joaquin B Bermudez, DO PCNPI 1104086784

Title

Provider

Phone

(520) 850-6749

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joaquin Baca Bermudez, D.O.

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1104086784
  Medicare reassignment NPD Authorized official
• Barbara Browder, PMHNP-MSN-RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, AZ
  • NPI 1740702901
  Medicare reassignment NPD
• John Thomas Zaharopoulos III, D.O.

  • Child & Adolescent Psychiatry Physician
  • Phoenix, AZ
  • NPI 1609005891
  Medicare reassignment
• Venus Bonnett, PMHNP

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1154828325
  NPD

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1275173205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E EARLL DR STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122636",
            "telephone_number": "480-490-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E VAN BUREN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063742",
            "telephone_number": "602-251-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAQUIN B BERMUDEZ DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "JOAQUIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "520-850-6749",
        "authorized_official_credential": "DO PC"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1800 E Van Buren St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850063742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joan B Lajoie Dba JL Medical (JL Medical)
• Joan D Arc Behavioral Home (Joan D ARc Behavioral Home LLC)
• Joan D Arc Behavioral Home LLC (Joan D Arc Behavioral Home)
• Joan Gale LCSW, LLC
• Joann F. Walters
• Francisco Joaquin, CAREGIVER
• Marlyn LL Joaquin
• Kathleen Mary Joas, PTA
• Rochto Joassin
• Jocie's Hope Center LLC

• Psychiatric Hospital in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.