Karl Wick Pmhnp-BC LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KARL WICK PMHNP-BC LLC

Practice address

618 S Madison Dr
Tempe, AZ 85281-7248

Phone

(602) 633-5563

NPI assigned

Sep 10, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Karl B Wick, PMHNP-BCNPI 1104307644

Title

Owner Manager

Phone

(602) 633-5563

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Karl B. Wick, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleveland, OH
  • NPI 1104307644
  NPD (past) Authorized official

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1346899440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9562 WILDWOOD DR",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249134",
            "telephone_number": "602-633-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 S MADISON DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852817248",
            "telephone_number": "602-633-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARL WICK PMHNP-BC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "WICK",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "602-633-5563",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Scott Kaplan, DO
• Rajan Kapoor, MBBS
• Crystal M Kapuscinski, LPC
• Grace Karcher, BSN, RN
• Karen L Leber, MD
• Jill Karriker, RN
• Ryan Karvel, RN
• Katalin H Boleratzky MD Inc
• Kristine L Kath, OT
• Kathleen Strohmeyer Anesthesiology PLLC

• Psychiatric/Mental Health Nurse Practitioner in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.