Individual provider Active NPI

Andrea Raby, D.O.

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1679645782
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
3508 Issued in AZ
Practice address
444 N 44TH St
#400
Phoenix, AZ 85008-7624
Phone
(602) 685-3846
Fax
(602) 685-3808
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 3508 AZ Primary

Addresses

Primary practice location

444 N 44TH St
#400
Phoenix, AZ 85008-7624

Mailing address

8350 E Raintree Dr
Ste 130
Scottsdale, AZ 85260-2692
Phone (602) 685-3846

Other identifiers 1

IdentifierTypeStateIssuer
648925MedicaidAZ

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
I20040304000335 AZ Practitioner - Psychiatry 4981591708 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of North Texas HSC, College of Osteopathic Med, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ubh of Phoenix, LLCGroup PAC ID 4486782331, 7 clinicians
Turnwell Mental Health of Arizona, PCGroup PAC ID 4981063328, 25 clinicians

Practice addresses (Care Compare)

3550 E Pinchot Ave
Phoenix, AZ 85018-7434
Phone (602) 952-3900

8350 E Raintree Dr
Suite 130
Scottsdale, AZ 85260-2692
Phone (480) 508-0882

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
72.84
Improvement activities
40
Cost
68.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3508AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Phoenix, LLC CurrentSince Feb 1, 2018 Accepting new patients
Turnwell Mental Health of Arizona, PC Psychiatry CurrentSince Jul 1, 2023 Accepting new patients
Az Holding 4, LLC Psychiatry CurrentSince Jan 16, 2024 Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients
Magellan Health Services of Arizona, Inc Past Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients

Locations

6120 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 843-2900

2545 W Quail Ave
Phoenix, AZ 85027
Phone (602) 455-5700

9160 E Horseshoe Rd
Scottsdale, AZ 85258
Phone (480) 476-7000

8350 E Raintree Dr
Ste 130
Scottsdale, AZ 85260
Phone (480) 508-0882

1492 S Mill Ave
Ste 206
Tempe, AZ 85281
Phone (480) 508-0882

Organizations & group practices 8

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1679645782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 E RAINTREE DR",
            "address_2": "STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602692",
            "telephone_number": "602-685-3846",
            "fax_number": "602-685-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N 44TH ST",
            "address_2": "#400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087624",
            "telephone_number": "602-685-3846",
            "fax_number": "602-685-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABY",
        "first_name": "ANDREA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "3508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "648925",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.