Individual provider Active NPI

Chad Done, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1457087546
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
217999 Issued in AZ
Practice address
1501 E Orangewood Ave
Phoenix, AZ 85020-5130
Phone
(602) 835-4357
NPI assigned
Jul 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 217999 AZ Primary

Addresses

Primary practice location

1501 E Orangewood Ave
Phoenix, AZ 85020-5130

Mailing address

22424 S Ellsworth Loop Rd
Queen Creek, AZ 85142-7026
Phone (480) 734-8944

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220825003074 AZ Practitioner - Nurse Practitioner 5799169678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agave Solutions PLLCGroup PAC ID 0941625651, 12 clinicians

Practice addresses (Care Compare)

10550 W McDowell Rd
Avondale, AZ 85392-4864
Phone (480) 565-3035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Agave Solutions PLLC CurrentSince Aug 1, 2022 Accepting new patients
Southwestern Children'S Health Services, Inc. Past Accepting new patients

Locations

10550 W McDowell Rd
Avondale, AZ 85392
Phone (480) 565-3035

2190 N Grace Blvd
Chandler, AZ 85225
Phone (480) 470-0069

20118 N 67th Ave
Ste 300609
Glendale, AZ 85308
Phone (602) 857-8182

3322 S Ellsworth Rd
Mesa, AZ 85212
Phone (505) 531-0818

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1457087546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22424 S ELLSWORTH LOOP RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427026",
            "telephone_number": "480-734-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E ORANGEWOOD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205130",
            "telephone_number": "602-835-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONE",
        "first_name": "CHAD",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-29",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "217999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.