Individual provider Active NPI

James Radzik

  • Psychiatric/Mental Health Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1609746684
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
245214 Issued in AZ
Practice address
3970 W 24TH St Ste 204
Yuma, AZ 85364-9261
Phone
(928) 373-8041
Fax
(928) 259-2501
NPI assigned
Nov 6, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 245214 AZ Primary

Addresses

Primary practice location

3970 W 24TH St Ste 204
Yuma, AZ 85364-9261

Mailing address

3970 W 24TH St Ste 204
Yuma, AZ 85364-9261
Phone (928) 373-8041

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260204003522 AZ Practitioner - Nurse Practitioner 5698254266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Counseling and Recovery ServicesGroup PAC ID 3779848494, 4 clinicians

Practice addresses (Care Compare)

3970 W 24TH St
Suite 206
Yuma, AZ 85364-9255
Phone (928) 373-8041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
245214AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Counseling & Recovery Services CurrentSince Dec 22, 2025 Accepting new patients

Locations

3970 W 24th St
Ste 206
Yuma, AZ 85364
Phone (928) 373-8041

3970 W 24th St
Ste 204
Yuma, AZ 85364
Phone (928) 373-8041

Organizations & group practices 1

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": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1609746684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 W 24TH ST STE 204",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853649261",
            "telephone_number": "928-373-8041",
            "fax_number": "928-259-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 W 24TH ST STE 204",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853649261",
            "telephone_number": "928-373-8041",
            "fax_number": "928-259-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADZIK",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "245214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.