Individual provider Active NPI

Nicholas King Baldwin, D.O.

  • Psychiatry Physician
  • Mesa, AZ
National Provider Identifier
1598022063
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
AZ006219 Issued in AZ
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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
AZ006219AZMDPsychiatry Physician
006219AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gila Health Resources Family Medicine CurrentSince Aug 11, 2019 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Southwest Behavioral Health Services, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Southwest Behavioral Health Service CurrentSince Feb 1, 2025 Accepting new patients
Gila River Health Care CurrentSince Jul 11, 2024 Accepting new patients
District Medical Group, Inc Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Gila River Health Care Corporation CurrentSince Jul 11, 2024 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

  • Direct secure messaging: nicholas.baldwin.1@33093.direct.athenahealth.com
  • Direct secure messaging: nbaldwin41433@direct.valleywisehealth.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X AZ006219 AZ Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.