Organization Active NPI

Psycaremd LLC

  • Psychiatry Physician
  • Chandler, AZ
National Provider Identifier
1386011062
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
46449 Issued in AZ
Legal business name
PSYCAREMD LLC
Practice address
2190 N Grace Blvd
Chandler, AZ 85225-3416
Phone
(480) 917-9301
NPI assigned
Aug 28, 2015
Last updated
Aug 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Authorized official

Name
Melissa Ramirez, MDNPI 1750610184
Title
Owner/Provider
Phone
(623) 308-2472

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 Physician 2084P0800X 46449 AZ Primary

Addresses

Primary practice location

2190 N Grace Blvd
Chandler, AZ 85225-3416

Mailing address

7349 N Via Paseo del Sur
Suite 515-122
Scottsdale, AZ 85258-3765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150924000152 AZ Part B Supplier - Clinic/Group Practice 9335456326 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ; Chandler, AZ; Tempe, AZ

National Provider Directory

National Provider Directory

Locations

7349 N Via Paseo del Sur
Ste 515122
Scottsdale, AZ 85258

Practitioners & affiliated clinicians

Practitioners 1

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": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1386011062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7349 N VIA PASEO DEL SUR",
            "address_2": "SUITE 515-122",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 N GRACE BLVD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852253416",
            "telephone_number": "480-917-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCAREMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "623-308-2472",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "46449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.