Individual provider Active NPI

Aaron Kramer, D.O.

  • Psychiatry Physician
  • Glendale, AZ
National Provider Identifier
1558715490
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
007540 Issued in AZ
Practice address
20118 N 67TH Ave Ste 300-609
Glendale, AZ 85308
Phone
(602) 857-8182
Fax
(602) 585-0788
NPI assigned
Apr 18, 2016
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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 007540 AZ Primary

Addresses

Primary practice location

20118 N 67TH Ave Ste 300-609
Glendale, AZ 85308

Mailing address

20118 N 67TH Ave Ste 300-609
Glendale, AZ 85308-4621
Phone (602) 857-8182

Other practice location 1

1300 N 12th St
Phoenix, AZ 85006
Phone (602) 521-3600

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
I20200129002664 AZ Practitioner - Psychiatry 8123454717 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agave Solutions PLLCGroup PAC ID 0941625651, 12 clinicians
Az Holding 4, LLCGroup PAC ID 9133511801, 15 clinicians

Practice addresses (Care Compare)

17300 N Dysart Rd
Surprise, AZ 85378-4501
Phone (623) 233-3000

9160 E Horseshoe Rd
Scottsdale, AZ 85258-4666
Phone (480) 476-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Behavioral Services of Phoenix, LLC CurrentSince Oct 6, 2018 Accepting new patients
Az Holding 4, LLC Psychiatry CurrentSince Nov 14, 2023 Accepting new patients
Agave Solutions PLLC Psychiatry CurrentSince Jun 1, 2020 Accepting new patients
Santiam Mobile Medicine LLC Current Accepting new patients
Agave Psychiatry PLLC Psychiatry CurrentSince Feb 11, 2024 Accepting new patients
BH Newco Hospital LLC Past Accepting new patients
Copper Springs Hospital, LLC Past Accepting new patients
Phoenix Medical Psychiatric Hospital, LLC Past Accepting new patients

Locations

10550 W McDowell Rd
Avondale, AZ 85392
Phone (480) 565-3035

2190 N Grace Blvd
Chandler, AZ 85225
Phone (480) 470-0069

20118 N 67th Ave
Ste 300609
Glendale, AZ 85308
Phone (602) 857-8182

1201 S 7th Ave
Ste 200
Phoenix, AZ 85007
Phone (623) 236-2000

1346 E McDowell Rd
Phoenix, AZ 85006
Phone (574) 208-9114

16841 N 31st Ave
Ste 170
Phoenix, AZ 85053
Phone (602) 521-3611

9160 E Horseshoe Rd
Scottsdale, AZ 85258
Phone (480) 476-7000

17300 N Dysart Rd
Surprise, AZ 85378
Phone (480) 719-6554

1881 W Washington St
Stayton, OR 97383
Phone (503) 400-6140

3102 West End Ave
Ste 1000
Nashville, TN 37203

Interoperability endpoints

  • Direct secure messaging: aaronkramer@destiny-springs-hc.direct.kno2fy.com
  • FHIR API: https://api.platform.athenahealth.com/19033/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1558715490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20118 N 67TH AVE STE 300-609",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084621",
            "telephone_number": "602-857-8182",
            "fax_number": "602-585-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20118 N 67TH AVE STE 300-609",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "602-857-8182",
            "fax_number": "602-585-0788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 N 12th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85006",
            "country_code": "US",
            "telephone_number": "602-521-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "AARON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "007540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.