Individual provider Active NPI

Marlene Robles, M.D.

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1578635603
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
24357 Issued in AZ
Practice address
8836 N 23Rd Ave
B1
Phoenix, AZ 85021-4185
Phone
(602) 944-9810
Fax
(602) 216-7040
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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 24357 AZ Primary

Addresses

Primary practice location

8836 N 23Rd Ave
B1
Phoenix, AZ 85021-4185

Mailing address

3003 N Central Ave
Suite 200
Phoenix, AZ 85012-2902
Phone (602) 685-6000

Other identifiers 1

IdentifierTypeStateIssuer
790453MedicaidAZ

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
I20050420001344 AZ Practitioner - Psychiatry 5597703454 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24357AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Terros, Inc. CurrentSince Aug 1, 2015 Accepting new patients
Terros Inc CurrentSince Aug 1, 2015 Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients
Magellan Health Services of Arizona, Inc Past Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients

Locations

8804 N 23rd Ave
Ste A1
Phoenix, AZ 85021

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

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

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

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

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

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1578635603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122902",
            "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": "8836 N 23RD AVE",
            "address_2": "B1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214185",
            "telephone_number": "602-944-9810",
            "fax_number": "602-216-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "MARLENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "24357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790453",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.