Active NPI
Psychiatric Solutions LLC
- Psychiatry Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PSYCHIATRIC SOLUTIONS LLC
- Practice address
- 10000 N 31St Ave Ste C100-138
Phoenix, AZ 85051-1395 - Phone
- (623) 308-2472
- NPI assigned
- Aug 9, 2024
- Last updated
- Aug 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristine Abigael Malcomson, FNP-C, PMHNP-BC
- Title
- Owner
- Phone
- (602) 568-9556
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
10000 N 31St Ave Ste C100-138
Phoenix, AZ 85051-1395
Mailing address
19801 N 59TH Ave Unit 10116
Glendale, AZ 85318-5006
Phone (623) 308-2472
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
19801 N 59th Ave
Unit 10116
Glendale, AZ 85318
15262 N 75th Ave
Ste 102
Peoria, AZ 85381
Phone (602) 878-8868
10000 N 31st Ave
Ste C100
Phoenix, AZ 85051
Phone (602) 466-3686
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1609457027
-
- Psychiatric/Mental Health Nurse Practitioner
- Peoria, AZ
- NPI 1740435353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723420800000",
"number": "1649001736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19801 N 59TH AVE UNIT 10116",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853185006",
"telephone_number": "623-308-2472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 N 31ST AVE STE C100-138",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850511395",
"telephone_number": "623-308-2472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHIATRIC SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-09",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A",
"authorized_official_last_name": "MALCOMSON",
"authorized_official_first_name": "KRISTINE ABIGAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-568-9556",
"authorized_official_credential": "FNP-C, PMHNP-BC"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- PS Pro Iom LLC
- PS Tech Iom LLC
- Jonathan Psenka, NMD
- Psych Zenhealth PLLC
- Psychiatric Services, L.L.C.
- Psychmd LLC
- Psychological and Consulting Services LLC (Arcadia Counseling and Psychotherapy Services)
- Psychological Services of Scottsdale P L C
- Psychological Services PLC (Curt Hill, PhD)
- Psychology Based Solutions LLC (Integrative Therapy Solutions)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.