Active NPI
Jon David Allison, M.D. , M.S.
- Psychiatry Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 43603
- 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, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 570473 | Medicaid | AZ |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terros Inc | Current | Accepting new patients | |
| Terros, Inc. | Current | Accepting new patients | |
| Terros, Inc. | Past | Accepting new patients | |
| Terros, Inc. | Past | 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
- jon.allison.p1@direct.lifewell.nextgenshare.com
- jon.allisonmd.p1@direct.terros.nextgenshare.com
- 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.
-
dba Terros Health - University Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mesa, AZ
- NPI 1356202360
-
dba Terros Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1528443066
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1992866834
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.