Geropsychmd LLC

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

Legal business name

GEROPSYCHMD LLC

Practice address

9618 N 35TH PL
Phoenix, AZ 85028-4934

Phone

(602) 930-2248

Fax

(623) 399-9958

NPI assigned

Jul 16, 2020

Organization subpart

No

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

Authorized official

Name

Amy J Frazier, MDNPI 1871693952

Title

Physician/Sole Member

Phone

(602) 930-2248

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Johanna Frazier, MD

  • Geriatric Psychiatry Physician
  • Phoenix, AZ
  • NPI 1871693952
  NPD Authorized official

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1467060343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9618 N 35TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284934",
            "telephone_number": "602-930-2248",
            "fax_number": "623-399-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9618 N 35TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284934",
            "telephone_number": "602-930-2248",
            "fax_number": "623-399-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEROPSYCHMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN/SOLE MEMBER",
        "authorized_official_telephone_number": "602-930-2248",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "28771",
            "identifier": "28771",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Marian German
• Alexander Germany
• Jenna Germinaro, RN
• Marc Geronimo, DDS
• Geropsych Management, LLC
• Anthony John Geroulis, DDS
• Cory Gersh, PT
• Candace Faith Gershkovich, DMD
• Joanne Gerster
• Mariana Sylvia Gertz, MS CCC

• Geriatric Psychiatry Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Geriatric Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.