Individual provider Active NPI

Jon David Allison, M.D. , M.S.

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1558559682
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
43603 Issued in AZ
Practice address
8804 N 23Rd Ave BLDG a
Phoenix, AZ 85021-4160
Phone
(602) 685-6000
Fax
(602) 216-7040
NPI assigned
Oct 15, 2007
Last updated
Jul 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 43603 AZ Primary

Addresses

Primary practice location

8804 N 23Rd Ave BLDG a
Phoenix, AZ 85021-4160

Mailing address

3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Phone (602) 685-6000

Other identifiers 1

IdentifierTypeStateIssuer
570473MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101208000004 AZ Practitioner - Psychiatry 1052468444 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Terros Inc CurrentSince Aug 31, 2015 Accepting new patients
Terros, Inc. Current Accepting new patients
Terros, Inc. PastSince Jun 1, 2022 Accepting new patients
Terros, Inc. PastSince Jul 25, 2021 Accepting new patients

Locations

3003 N Central Ave
Ste 200
Phoenix, AZ 85012
Phone (602) 685-6132

3003 N Central Ave
Ste 400
Phoenix, AZ 85012
Phone (602) 351-3015

4616 N 51st Ave
Ste 108
Phoenix, AZ 85031
Phone (480) 566-6497

4909 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 244-9591

5030 W McDowell Rd
Ste 16
Phoenix, AZ 85035
Phone (602) 278-1414

8804 N 23rd Ave
Ste A1
Phoenix, AZ 85021

8836 N 23rd Ave
Ste B1
Phoenix, AZ 85021
Phone (602) 944-9810

1642 S Priest Dr
Bldg 6
Tempe, AZ 85281
Phone (480) 929-5100

Interoperability endpoints

  • Direct secure messaging: jon.allison.p1@direct.lifewell.nextgenshare.com
  • Direct secure messaging: jon.allisonmd.p1@direct.terros.nextgenshare.com
  • Direct secure messaging: miriam.perez.p1@direct.terros.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1558559682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122929",
            "telephone_number": "602-685-6000",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8804 N 23RD AVE BLDG A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214160",
            "telephone_number": "602-685-6000",
            "fax_number": "602-216-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "JON",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D. , M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "43603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "570473",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.