NPIMap

Organization Active NPI

Premier Neurology Institute

  • Neurology Physician
  • Glendale, AZ
National Provider Identifier
1376255984
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
PREMIER NEUROLOGY INSTITUTE
Doing business as
Premier Neurology Institute
Practice address
18275 N 59TH Ave BLDG H146
Glendale, AZ 85308-1260
Phone
(602) 649-1555
Fax
(602) 649-1554
NPI assigned
Dec 15, 2022
Last updated
Jan 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Rocio Soto
Title
Billing Manager
Phone
(602) 649-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

18275 N 59TH Ave BLDG H146
Glendale, AZ 85308-1260

Mailing address

18275 N 59TH Ave BLDG H146
Glendale, AZ 85308-1260
Phone (602) 649-1555

Other practice location 1

7900 E Florentine Rd Bldg H146
Prescott Valley, AZ 86314-2218
Phone (602) 649-1555

Other names 1

  • Premier Neurology Institute Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address billingteam@premierneurologyinstitute.com Direct

National Provider Directory

National Provider Directory

Locations

7900 E Florentine Rd
Bldg H146
Prescott Valley, AZ 86314
Phone (602) 649-1555

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1376255984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE BLDG H146",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081260",
            "telephone_number": "602-649-1555",
            "fax_number": "602-649-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE BLDG H146",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081260",
            "telephone_number": "602-649-1555",
            "fax_number": "602-649-1554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 E Florentine Rd Bldg H146",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863142218",
            "country_code": "US",
            "telephone_number": "602-649-1555",
            "fax_number": "602-649-1554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER NEUROLOGY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-15",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "ROCIO",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "602-649-1555"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billingteam@premierneurologyinstitute.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18275 N 59th Ave Bldg H146",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853081260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Premier Neurology Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

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