Active NPI
Chandler Tamara Gunning, DO
- Psychiatry Physician
- Mesa, AZ
National Provider Identifier
1306980164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 3071
- Practice address
- 3740 E Southern
Suite 110
Mesa, AZ 85206 - Phone
- (480) 668-0711
- Fax
- (480) 668-0766
- NPI assigned
- Feb 16, 2007
- 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 | 3071 | AZ | Primary |
Addresses
Primary practice location
3740 E Southern
Suite 110
Mesa, AZ 85206
Mailing address
5048 E Friess Drive
Scottsdale, AZ 85254
Phone (602) 996-7278
Other names 1
- Chandler T Gunning
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 26, 2016 through Apr 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3071 | AZ | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306980164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5048 E FRIESS DRIVE",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85254",
"telephone_number": "602-996-7278",
"fax_number": "480-668-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3740 E SOUTHERN",
"address_2": "SUITE 110",
"city": "MESA",
"state": "AZ",
"postal_code": "85206",
"telephone_number": "480-668-0711",
"fax_number": "480-668-0766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNNING",
"first_name": "CHANDLER",
"middle_name": "TAMARA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "3071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHANDLER",
"last_name": "GUNNING",
"middle_name": "T",
"credential": "DO PC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.