Michael John Zadakis, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

292205 Issued in AZ

Practice address

15300 N 90TH St Ste 750
Scottsdale, AZ 85260-2776

Phone

(480) 565-6440

Fax

(480) 454-1085

NPI assigned

May 24, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

American Medical Associates PLLCGroup PAC ID 0547575474, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• American Medical Associates, PLLC

  • Internal Medicine Physician
  • Chandler, AZ
  • NPI 1083092688
  Medicare reassignment Care Compare group NPD
• Lighthouse Psychiatry LLC

  • Psychiatry Physician
  • Gilbert, AZ
  • NPI 1326596719

  Nurse Practitioner

  NPD (past)
• Open Mind Group LLC

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1558193391
  NPD (past)

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1407548845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 E BASELINE RD STE 204",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342743",
            "telephone_number": "480-565-6440",
            "fax_number": "480-454-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 N 90TH ST STE 750",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602776",
            "telephone_number": "480-565-6440",
            "fax_number": "480-454-1085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 E Baseline Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342743",
            "country_code": "US",
            "telephone_number": "480-565-6440",
            "fax_number": "480-454-1085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZADAKIS",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-24",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "292205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zabel Medical PLLC
• Zaccari & Associates, LLC
• Annette Zaccari, LCSW
• Caitlyn Zaccari, RCSWI
• Canela Zacharopoulos, M.S., CCC-SLP
• Robert Amnon Zadik, MD
• Anokina Zadoo, LCSW
• Kelly Lynn Zadravec, M.D.
• Andrew B Zagelbaum, OD
• Barbara Zagier

• Psychiatric/Mental Health Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, 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 Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.