Individual provider Active NPI

Debra Ford, M.D.

  • Child & Adolescent Psychiatry Physician
  • Tempe, AZ
National Provider Identifier
1376618033
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
25141 Issued in AZ
Practice address
914 S 52ND St
Tempe, AZ 85281-9500
Phone
(480) 784-1514
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25141 AZ
Child & Adolescent Psychiatry Physician 2084P0804X 25141 AZ Primary

Addresses

Primary practice location

914 S 52ND St
Tempe, AZ 85281-9500

Mailing address

4722 N Avenida de Franelah
Tucson, AZ 85749-9510
Phone (520) 330-1968

Other identifiers 1

IdentifierTypeStateIssuer
403931MedicaidAZ

Other names 1

  • Debbie Ford Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050322000778 AZ Practitioner - Psychiatry 1658367040 Reassigns benefits to 2 organizations
I20220611000274 VA Practitioner - Psychiatry 1658367040 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25141AZMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Arizona Behavioral Health Services, Inc. Current Accepting new patients
Southeastern Arizona Behavioral Health Services CurrentSince Jun 20, 2024 Accepting new patients
La Frontera Center, Inc. CurrentSince May 15, 2024 Accepting new patients
La Frontera Center, Inc. Current Accepting new patients
Southside Behavioral Health Psychiatry CurrentSince Jan 25, 2022 Accepting new patients
La Frontera Center, Inc. PastSince Jul 21, 2024 Accepting new patients
Psychiatric Associates of Northern Az PLLC Psychiatry PastSince Nov 5, 2001 Accepting new patients
Banner Behavioral Health - East Valley Past Accepting new patients
La Frontera Center, Inc. PastSince Jul 21, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Katherine Cheeves MD, PLLC Psychiatry Past Accepting new patients
La Frontera Center, Inc. Past Accepting new patients

Locations

590 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-6177

611 W Union St
Benson, AZ 85602
Phone (520) 586-0800

4891 E Grant Rd
Tucson, AZ 85712
Phone (520) 296-3296

502 W 29th St
Tucson, AZ 85713
Phone (520) 838-5600

1210 E Pennsylvania St
Tucson, AZ 85714
Phone (520) 741-2351

523 Madison St
Boydton, VA 23917
Phone (434) 738-0154

424 Hamilton Blvd
South Boston, VA 24592
Phone (434) 572-2936

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1376618033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 N AVENIDA DE FRANELAH",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857499510",
            "telephone_number": "520-330-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 S 52ND ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852819500",
            "telephone_number": "480-784-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "DEBRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "25141",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "25141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403931",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "FORD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.