North Valley Psychiatry

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

NORTH VALLEY PSYCHIATRY

Practice address

21639 N 12TH Ave Ste 104
Phoenix, AZ 85027-2802

Phone

(602) 647-1853

NPI assigned

Jul 8, 2024

Organization subpart

No

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

Authorized official

Name

Jessica Carden

Title

Authorized Official

Phone

(336) 343-5776

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 4

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

• Bridget Hungerford, PMHNP-BC, LMSW

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1497589865
  Medicare reassignment Care Compare group NPD
• Tori A. Stooks, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1548650005
  Medicare reassignment Care Compare group NPD
• Shannon Marie Brown, DNP

  • Acute Care Nurse Practitioner
  • Phoenix, AZ
  • NPI 1053652289
  Medicare reassignment NPD
• Sabrina Marguerite Robidoux, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1528714565
  NPD (past)

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1548006554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21639 N 12TH AVE STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21639 N 12TH AVE STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272802",
            "telephone_number": "602-647-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "CARDEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "336-343-5776"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Valley Pediatrics PC
• North Valley Pharmacy LLC
• North Valley Physicians Group, LLC
• North Valley Podiatry LLC
• North Valley Podiatry, LLC
• North Valley Surgical Assisting, Inc.
• Kathleen Marie North-Wilhelm, M.D.
• Gary J North, PAC
• Northcutt Physical Therapy PLLC
• Northeast Phoenix Az Caregiving LLC

• 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 Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.