Active NPI
Diane T Papke, M.D.
- Psychiatry Physician
- Phoenix, AZ
National Provider Identifier
1295805240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 32957
- Practice address
- 3311 N 44TH St Ste 100
Phoenix, AZ 85018-6446 - Phone
- (602) 957-2220
- Fax
- (602) 957-1750
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- 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 | 32957 | AZ | Primary |
Addresses
Primary practice location
3311 N 44TH St Ste 100
Phoenix, AZ 85018-6446
Mailing address
3003 N Central Ave Ste 305
Phoenix, AZ 85012-2904
Phone (602) 952-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 954637 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Toledo College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4435 E Chandler Blvd
Suite 200
Phoenix, AZ 85048-7651
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32957 | AZ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD FL Psychiatry Services PA | Psychiatry | Current | Accepting new patients |
| Psychology Specialists LTD | Past | Accepting new patients | |
| Vo of Arizona, Inc. | Past | Accepting new patients | |
| Partners in Recovery, LLC | Past | Accepting new patients | |
| Vo of Arizona, Inc. | Past | Accepting new patients | |
| Magellan Health Services of Arizona, Inc | Past | Accepting new patients |
Locations
4435 E Chandler Blvd
Ste 200
Phoenix, AZ 85048
Phone (480) 930-2322
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
Organizations & group practices 6
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.
-
- Case Management Agency
- Gilbert, AZ
- NPI 1194965145
-
- Adult Mental Health Clinic/Center
- Wickenburg, AZ
- NPI 1205060100
-
- Clinical Medical Laboratory
- Glendale, AZ
- NPI 1447458682
-
- Case Management Agency
- Phoenix, AZ
- NPI 1730139593
-
- Clinical Psychologist
- Las Vegas, NV
- NPI 1003473448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432080000000",
"number": "1295805240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 N CENTRAL AVE STE 305",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122904",
"telephone_number": "602-952-3400",
"fax_number": "602-952-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 N 44TH ST STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850186446",
"telephone_number": "602-957-2220",
"fax_number": "602-957-1750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPKE",
"first_name": "DIANE",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2015-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "32957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "954637",
"state": "AZ"
}
],
"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 May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.