Individual provider Active NPI

Bahoo Ghafoor, MD

  • Child & Adolescent Psychiatry Physician
  • Tempe, AZ
National Provider Identifier
1609395847
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
60495 Issued in AZ
Practice address
1030 E Guadalupe Rd
Tempe, AZ 85283-3044
Phone
(480) 491-1898
Fax
(480) 629-5246
NPI assigned
Sep 19, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NM
Child & Adolescent Psychiatry Physician 2084P0804X 60495 AZ Primary

Addresses

Primary practice location

1030 E Guadalupe Rd
Tempe, AZ 85283-3044

Mailing address

6218 S Rita LN
Tempe, AZ 85283-3023
Phone (480) 839-4577

Other practice location 1

Msc09 5030 1 University Of New Mexico
Albuquerque, NM 87131-3227
Phone (505) 272-8244

Other identifiers 1

IdentifierTypeStateIssuer
122246MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60495AZMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Center PLLC Psychiatry CurrentSince May 1, 2022 Accepting new patients
Psychiatric Associates, PLLC Child & Adolescent Psychiatry PastSince May 1, 2022 Accepting new patients
Aurora Behavioral Healthcare - Tempe, LLC Psychiatry Past Accepting new patients

Locations

1030 E Guadalupe Rd
Tempe, AZ 85283
Phone (480) 269-2670

1030 E Guadalupe Rd
#30443044
Tempe, AZ 85283

Organizations & group practices 3

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": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1609395847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6218 S RITA LN",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833023",
            "telephone_number": "480-839-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 E GUADALUPE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833044",
            "telephone_number": "480-491-1898",
            "fax_number": "480-629-5246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Msc09 5030 1 University Of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871313227",
            "country_code": "US",
            "telephone_number": "505-272-8244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAFOOR",
        "first_name": "BAHOO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-19",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "60495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122246",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.