Chase Crookham, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

009702 Issued in AZ

Practice address

925 E McDowell Rd FL 4
Phoenix, AZ 85006-2502

Phone

(602) 839-6775

NPI assigned

Apr 13, 2020

Last updated

Feb 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Psychiatry

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agave Solutions PLLCGroup PAC ID 0941625651, 12 clinicians

Az Holding 4, LLCGroup PAC ID 9133511801, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Agave Solutions PLLC

  • Psychiatry Physician
  • Avondale, AZ
  • NPI 1619594546
  Medicare reassignment Care Compare group NPD
• Az Holding 4, LLC

  • Psychiatry Physician
  • Scottsdale, AZ
  • NPI 1447906508
  Medicare reassignment Care Compare group NPD
• Paramount Behavioral Health Services PLLC

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1366941361
  Medicare reassignment NPD
• Ubh of Phoenix LLC

  dba Valley Hospital

  • Psychiatric Hospital
  • Phoenix, AZ
  • NPI 1083942098
  Medicare reassignment NPD
• Ubh of Phoenix LLC

  dba Valley Hospital

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1437571213
  NPD
• BH Newco Hospital LLC

  dba Via Linda Behavioral Hospital

  • Psychiatric Hospital
  • Scottsdale, AZ
  • NPI 1295494292
  NPD (past)
• Copper Springs Hospital, LLC

  dba Copper Springs

  • Psychiatric Hospital
  • Avondale, AZ
  • NPI 1336504380
  NPD (past)

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1306465042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST STE 320",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062858",
            "telephone_number": "602-521-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E MCDOWELL RD FL 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062502",
            "telephone_number": "602-839-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOKHAM",
        "first_name": "CHASE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "009702",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barb Cronkhite
• Angela Dawn Crook, COTA
• Danielle Leigh Crooke, DNP, AGACNP-BC
• Anna Crooker
• Jenifer Crookes
• Brinly J Crooks, PA-C
• Charles P Crooks II, M.D.
• Matthew A Croppi, PA
• Annalit Crosby, BA, BHT
• Debra Crosby

• Psychiatry Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.

Verify at the official NPI Registry.