Devin R Southworth, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

260055 Issued in AZ

Practice address

600 S Dobson Rd Ste E-3638
Chandler, AZ 85224-5678

Phone

(480) 542-0222

NPI assigned

Jun 28, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Redemption Psychiatry, LLC

  • Child & Adolescent Psychiatry Physician
  • Gilbert, AZ
  • NPI 1053757278
  NPD (past)
• Sunrise Psychiatry PLLC

  • Psychiatry Physician
  • Mesa, AZ
  • NPI 1790466035
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630886400000",
    "number": "1689244022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S DOBSON RD STE 36ANDE38",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245678",
            "telephone_number": "480-542-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S DOBSON RD STE E-3638",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245678",
            "telephone_number": "480-542-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHWORTH",
        "first_name": "DEVIN",
        "middle_name": "R",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "260055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Primary Care LTD
• Southwestern Children's Health Services, Inc (Oasis Behavioral Health)
• Southwestern Children's Health Services, Inc. (Oasis Behavioral Health)
• Southwestern Children's Health Services, Inc. (Oasis Behavioral Health)
• Southwestern Pediatrics PLLC
• Sovereign Health of Phoenix, Inc.
• Sozo Physical Therapy
• Dagne Hanson Spackman, MS
• Jandi Spann
• Spark Cognitive Therapy

• Psychiatric/Mental Health Nurse Practitioner in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; 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.