Kanner Psychiatry PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

R71751 Issued in AZ

Legal business name

KANNER PSYCHIATRY PLLC

Practice address

1300 E Missouri Ave
Phoenix, AZ 85014-2362

Phone

(602) 395-0718

Fax

(602) 277-8146

NPI assigned

Nov 14, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Linda Hamelin

Title

Credentialer

Phone

(602) 308-7817

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1477095073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39179",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850699179",
            "telephone_number": "602-395-0718",
            "fax_number": "602-277-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E MISSOURI AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142362",
            "telephone_number": "602-395-0718",
            "fax_number": "602-277-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANNER PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "HAMELIN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "602-308-7817",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "R71751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Kang, LAMFT
• Teresa J Kang, LCSW, LISAC
• Renee Heather Kania, FNP-BC
• Anne Marie Kaniski, OTRL
• Phoebe Wairimu Kanjagua
• Joshua Kanner, M.D.
• Kathryn Kanner, MD
• Keisuke Kanno, DPT CSCS
• Kanoky, LLC
• Betsy Sue Kantor, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.