Active NPI
Ramiz Audi, RAMIZ AUDI
- Child & Adolescent Psychiatry Physician
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 55098
- Practice address
- 1915 E Chandler Blvd Ste 1
Chandler, AZ 85225-5117 - Phone
- (480) 306-5151
- Fax
- (480) 306-4648
- NPI assigned
- Jun 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101256442 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | LL16619 | OR | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 55098 | AZ | Primary |
Addresses
Primary practice location
1915 E Chandler Blvd Ste 1
Chandler, AZ 85225-5117
Mailing address
1915 E Chandler Blvd Ste 1
Chandler, AZ 85225-5117
Phone (480) 306-5151
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C05149 | Other | VA | GROUP PTAN |
| 330609 | Medicaid | AZ |
Other names 1
- Ramiz Audi
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Creighton University School of Medicine, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
11221 N 28TH Dr
BLDG E
Phoenix, AZ 85029-5615
Phone (602) 997-2233
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101256442 | VA | MD | Psychiatry Physician |
| LL16619 | OR | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Behavioral Health Services | Current | Accepting new patients | |
| Southwest Behavioral Health Services Inc | Current | Accepting new patients | |
| Southwest Behavioral Health Services, Inc. | Current | Accepting new patients | |
| Agave Solutions PLLC | Psychiatry | Current | 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
404 W Aero Dr
Payson, AZ 85541
Phone (928) 238-3024
3450 N 3rd St
Phoenix, AZ 85012
Phone (602) 257-9339
2042 N 35th Ave
Phoenix, AZ 85009
Phone (602) 233-0115
11221 N 28th Dr
Bldg E
Phoenix, AZ 85029
Phone (602) 892-5155
7600 E Florentine Rd
Ste 101
Prescott Valley, AZ 86314
Phone (928) 775-7088
7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088
Interoperability endpoints
- ramiz.audi.1@24259.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1144384389
-
- Psychiatry Physician
- Avondale, AZ
- NPI 1619594546
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mesa, AZ
- NPI 1346255791
-
- Psychiatric Residential Treatment Facility
- Kingman, AZ
- NPI 1023556339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1467659193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 E CHANDLER BLVD STE 1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852255117",
"telephone_number": "480-306-5151",
"fax_number": "480-306-4648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 E CHANDLER BLVD STE 1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852255117",
"telephone_number": "480-306-5151",
"fax_number": "480-306-4648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUDI",
"first_name": "RAMIZ",
"credential": "RAMIZ AUDI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-27",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101256442",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OR",
"license": "LL16619",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "AZ",
"license": "55098",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C05149",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330609",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RAMIZ",
"last_name": "AUDI",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
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 Apr 18, 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.