Active NPI
Priti R Patel, M.D.
- Child & Adolescent Psychiatry Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 58079
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| R-3585 | KY | MD | Psychiatry Physician |
| 58079 | AZ | MD | Child & Adolescent Psychiatry Physician |
| 50349 | KY | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonora Behavioral Health Hospital, LLC | Current | Accepting new patients | |
| Cornerstone Behavioral Health Tucson | Current | Accepting new patients | |
| Sonora Behavioral Health Hospital, LLC | Current | Accepting new patients | |
| Calmpsych LLC | Psychiatry | Current | 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.
-
- Psychiatry Physician
- Tempe, AZ
- NPI 1669122818
-
- Psychiatric Hospital
- Tucson, AZ
- NPI 1750466892
-
- Psychiatric Hospital
- Tucson, AZ
- NPI 1649646787
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tucson, AZ
- NPI 1245777481
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.