Active NPI
Fayyaz Ahmad, M.D.
- Psychiatry Physician
- Tempe, AZ
National Provider Identifier
1295741791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 33991
- Practice address
- 1642 S Priest Dr Ste 101
Tempe, AZ 85281-6204 - Phone
- (480) 929-5100
- Fax
- (480) 731-1066
- NPI assigned
- Aug 1, 2006
- Last updated
- Dec 2, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 33991 | AZ | Primary |
Addresses
Primary practice location
1642 S Priest Dr Ste 101
Tempe, AZ 85281-6204
Mailing address
3003 N Central Ave
Suite 200
Phoenix, AZ 85012-2902
Phone (602) 685-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33991 | AZ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magellan Health Services of Arizona, Inc | Past | Accepting new patients | |
| Prairie St Johns | Past | Accepting new patients | |
| Vo of Arizona, Inc. | Past | Accepting new patients | |
| Vo of Arizona, Inc. | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Case Management Agency
- Gilbert, AZ
- NPI 1194965145
-
dba ValueOptions Laboratory Services
- Clinical Medical Laboratory
- Glendale, AZ
- NPI 1447458682
-
- Case Management Agency
- Phoenix, AZ
- NPI 1730139593
-
- Psychiatric Hospital
- Fargo, ND
- NPI 1417901000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1295741791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 N CENTRAL AVE",
"address_2": "SUITE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122902",
"telephone_number": "602-685-6000",
"fax_number": "602-302-7925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1642 S PRIEST DR STE 101",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852816204",
"telephone_number": "480-929-5100",
"fax_number": "480-731-1066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "FAYYAZ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "33991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.