Individual provider Active NPI

Priti R Patel, M.D.

  • Child & Adolescent Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1316352248
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
58079 Issued in AZ
Practice address
16620 N 40TH St Ste E-1
Phoenix, AZ 85032-3348
Phone
(602) 494-9576
Fax
(602) 626-8901
NPI assigned
Jun 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R-3585 KY
Child & Adolescent Psychiatry Physician 2084P0804X 50349 KY
Child & Adolescent Psychiatry Physician 2084P0804X 58079 AZ Primary

Addresses

Primary practice location

16620 N 40TH St Ste E-1
Phoenix, AZ 85032-3348

Mailing address

4531 N 16TH St Ste 114
Phoenix, AZ 85016-5344
Phone (602) 266-8700

Other practice location 1

6535 W Camelback Rd Ste 4
Phoenix, AZ 85033-1608
Phone (623) 231-5535

Other practice location 2

18555 N 79th Ave Ste D107
Glendale, AZ 85308-6040
Phone (623) 777-3477

Other practice location 3

2450 E Guadalupe Rd Ste 103
Gilbert, AZ 85234-5116
Phone (480) 907-6818

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190627001106 AZ Practitioner - Psychiatry 3577863513 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sonora Behavioral Health Hospital LLCGroup PAC ID 6406857440, 9 clinicians

Practice addresses (Care Compare)

4533 N 22ND St
Phoenix, AZ 85016-4601
Phone (234) 221-8111

6050 N Corona Rd
Tucson, AZ 85704-1096
Phone (520) 469-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R-3585KYMDPsychiatry Physician
58079AZMDChild & Adolescent Psychiatry Physician
50349KYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Behavioral Health Hospital, LLC CurrentSince Apr 28, 2020 Accepting new patients
Cornerstone Behavioral Health Tucson CurrentSince Apr 20, 2021 Accepting new patients
Sonora Behavioral Health Hospital, LLC CurrentSince Apr 28, 2020 Accepting new patients
Calmpsych LLC Psychiatry CurrentSince Aug 1, 2022 Accepting new patients

Locations

1400 N Wilmot Rd
Tucson, AZ 85712
Phone (520) 222-8268

6050 N Corona Rd
Tucson, AZ 85704
Phone (520) 469-8700

2200 Ross Ave
Ste 5400
Dallas, TX 75201

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1316352248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 N 16TH ST STE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165344",
            "telephone_number": "602-266-8700",
            "fax_number": "602-296-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST STE E-1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323348",
            "telephone_number": "602-494-9576",
            "fax_number": "602-626-8901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6535 W Camelback Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850331608",
            "country_code": "US",
            "telephone_number": "623-231-5535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18555 N 79th Ave Ste D107",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853086040",
            "country_code": "US",
            "telephone_number": "623-777-3477",
            "fax_number": "623-777-3478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 E Guadalupe Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852345116",
            "country_code": "US",
            "telephone_number": "480-907-6818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRITI",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "R-3585",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "50349",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "58079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.