NPIMap

Organization Active NPI

White Peak Psychiatry

  • Psychiatry Physician
  • Peoria, AZ
National Provider Identifier
1326828625
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WHITE PEAK PSYCHIATRY
Practice address
13184 W Woodstock Rd
Peoria, AZ 85383-6072
Phone
(025) 609-9256
Fax
(602) 838-4392
NPI assigned
Oct 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Vanessa Moe, DNPNPI 1700494374
Title
Pmhnp-BC
Phone
(602) 560-9925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

13184 W Woodstock Rd
Peoria, AZ 85383-6072

Mailing address

13184 W Woodstock Rd
Peoria, AZ 85383-6072
Phone (623) 521-7253

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1326828625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13184 W WOODSTOCK RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853836072",
            "telephone_number": "623-521-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13184 W WOODSTOCK RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853836072",
            "telephone_number": "025-609-9256",
            "fax_number": "602-838-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE PEAK PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "MOE",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "602-560-9925",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.