Individual provider Active NPI

Jaime T Michel, MD

  • Psychiatry Physician
  • Yuma, AZ
National Provider Identifier
1639239015
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
40379 Issued in AZ
Practice address
3250A E 40TH St
Yuma, AZ 85365-7748
Phone
(928) 341-0335
Fax
(928) 539-7099
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 92-307 NM
Psychiatry Physician 2084P0800X 40379 AZ Primary

Addresses

Primary practice location

3250A E 40TH St
Yuma, AZ 85365-7748

Mailing address

3250A E 40TH St
Yuma, AZ 85365-7748
Phone (928) 341-0335

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
I20081208000137 AZ Practitioner - Psychiatry 0446267835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest NetworkGroup PAC ID 2567560659, 26 clinicians

Practice addresses (Care Compare)

2444 E University Dr
Suite 150
Phoenix, AZ 85034-6934
Phone (602) 304-0014

Merit-based Incentive Payment System (MIPS)

Final score
97.32 of 100Reported as group
Quality
85.03
Promoting interoperability
99
Improvement activities
40
Cost
90.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
92-307NMMDAddiction Medicine (Psychiatry & Neurology) Physician
40379AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connectionsaz, LLC CurrentSince Feb 21, 2013 Accepting new patients
Connectionsaz, LLC CurrentSince Feb 21, 2013 Accepting new patients
Connectionsaz, LLC Current Accepting new patients
Southwest Network, Inc. CurrentSince Sep 22, 2015 Accepting new patients
Southwest Network Current Accepting new patients

Locations

1465 W Chandler Blvd
Bldg A
Chandler, AZ 85224
Phone (480) 786-8200

3140 N Arizona Ave
Ste 113
Chandler, AZ 85225
Phone (480) 497-4040

9051 W Kelton Ln
Ste 13
Peoria, AZ 85382
Phone (623) 815-5700

1201 S 7th Ave
Ste 150
Phoenix, AZ 85007
Phone (602) 253-5100

2700 N Central Ave
Ste 1050
Phoenix, AZ 85004
Phone (602) 266-8402

2311 W Royal Palm Rd
Phoenix, AZ 85021
Phone (602) 269-5300

2444 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (602) 304-0014

3227 E Bell Rd
Ste 170
Phoenix, AZ 85032
Phone (480) 719-7383

1840 N 95th Ave
Ste 132
Phoenix, AZ 85037
Phone (623) 932-6950

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1639239015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250A E 40TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853657748",
            "telephone_number": "928-341-0335",
            "fax_number": "928-539-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250A E 40TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853657748",
            "telephone_number": "928-341-0335",
            "fax_number": "928-539-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "JAIME",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NM",
            "license": "92-307",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "40379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.