Active NPI
Nicholas King Baldwin, D.O.
- Psychiatry Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- AZ006219
- Practice address
- 570 W Brown Rd
Mesa, AZ 85201 - Phone
- (480) 344-2028
- NPI assigned
- Apr 20, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
AZ
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1144384389
AZ
-
- Community/Behavioral Health Agency
- Laveen, AZ
- NPI 1598021495
-
- Rural Acute Care Hospital
- Maricopa, AZ
- NPI 1386633915
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Buckeye, AZ
- NPI 1104030980
-
- Psychiatric Residential Treatment Facility
- Kingman, AZ
- NPI 1023556339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160405001925 | AZ | Practitioner - Psychiatry | 9234437328 | Reassigns benefits to 3 organizations |
| I20240730001219 | TX | Practitioner - Psychiatry | 9234437328 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ006219 | AZ | MD | Psychiatry Physician |
| 006219 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gila Health Resources | Family Medicine | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| Southwest Behavioral Health Services, Inc. | Current | Accepting new patients | |
| Southwest Behavioral Health Service | Current | Accepting new patients | |
| Gila River Health Care | Current | Accepting new patients | |
| District Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Southwest Behavioral Health Services Inc | Current | Accepting new patients |
Locations
1301 W Beale St
Kingman, AZ 86401
Phone (928) 263-6515
17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000
48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881
1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300
570 W Brown Rd
Mesa, AZ 85201
Phone (480) 344-2000
401 Burro Aly
Morenci, AZ 85540
Phone (928) 865-7500
404 W Aero Dr
Payson, AZ 85541
Phone (928) 238-3024
1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
2042 N 35th Ave
Phoenix, AZ 85009
Phone (602) 233-0115
3450 N 3rd St
Phoenix, AZ 85012
Phone (602) 257-9339
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088
7600 E Florentine Rd
Ste 101
Prescott Valley, AZ 86314
Phone (928) 775-7088
Interoperability endpoints
- nicholas.baldwin.1@33093.direct.athenahealth.com
- nbaldwin41433@direct.valleywisehealth.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | AZ006219 | AZ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
570 W Brown Rd
Mesa, AZ 85201
Mailing address
570 W Brown Rd
Mesa, AZ 85201-3227
Phone (480) 344-2028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 31, 2019.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1598022063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 W BROWN RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852013227",
"telephone_number": "480-344-2028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 W BROWN RD",
"city": "MESA",
"state": "AZ",
"postal_code": "85201",
"telephone_number": "480-344-2028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDWIN",
"first_name": "NICHOLAS",
"middle_name": "KING",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-20",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "AZ006219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.