Organization Active NPI

Arizona Child Psychiatry, PC

  • Adolescent and Children Mental Health Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1497964662
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
26172 Issued in AZ
Legal business name
ARIZONA CHILD PSYCHIATRY, PC
Practice address
11260 N Tatum Blvd
Suite 140
Phoenix, AZ 85028-2307
Phone
(602) 996-5040
Fax
(602) 996-5041
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Authorized official

Name
Suzanne Lee Don, M.D.NPI 1992914154
Title
President
Phone
(602) 996-5040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 26172 AZ Primary

Addresses

Primary practice location

11260 N Tatum Blvd
Suite 140
Phoenix, AZ 85028-2307

Mailing address

11260 N Tatum Blvd
Suite 140
Phoenix, AZ 85028-2307
Phone (602) 996-5040

National Provider Directory

National Provider Directory

Locations

11260 N Tatum Blvd
Ste 140
Phoenix, AZ 85028
Phone (602) 456-2246

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1497964662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11260 N TATUM BLVD",
            "address_2": "SUITE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850282307",
            "telephone_number": "602-996-5040",
            "fax_number": "602-996-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 N TATUM BLVD",
            "address_2": "SUITE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850282307",
            "telephone_number": "602-996-5040",
            "fax_number": "602-996-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA CHILD PSYCHIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "DON",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-996-5040",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "AZ",
            "license": "26172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.