Active NPI
Mary Ann Picardo, D.O.
- Psychiatry Physician
- Phoenix, AZ
National Provider Identifier
1366686321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 1586
- Practice address
- 2800 W Pinnacle Peak Rd
Phoenix, AZ 85027-1000 - Phone
- (623) 869-9050
- Fax
- (623) 869-9486
- NPI assigned
- Apr 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 1586 | AZ | Primary |
Addresses
Primary practice location
2800 W Pinnacle Peak Rd
Phoenix, AZ 85027-1000
Mailing address
PO Box 45019
Phoenix, AZ 85064-5019
Phone (623) 869-9050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1586 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240272000000",
"number": "1366686321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45019",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850645019",
"telephone_number": "623-869-9050",
"fax_number": "623-869-9486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 W PINNACLE PEAK RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850271000",
"telephone_number": "623-869-9050",
"fax_number": "623-869-9486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICARDO",
"first_name": "MARY ANN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-21",
"last_updated": "2009-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "1586",
"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 Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.