Active NPI
Daylight Psychiatric Center
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1689352866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- DAYLIGHT PSYCHIATRIC CENTER
- Practice address
- 3101 N Central Ave Ste 183
Phoenix, AZ 85012-3616 - Phone
- (480) 252-3484
- NPI assigned
- Jul 7, 2023
- Last updated
- Aug 21, 2023
- 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
- Marcus Ernest Konyi Kometa, NURSE PRACTITIONER
- Title
- Director
- Phone
- (480) 252-3484
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
3101 N Central Ave Ste 183
Phoenix, AZ 85012-3616
Mailing address
6811 W Pleasant LN
Laveen, AZ 85339-2660
Phone (480) 252-3484
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
- NPI 1003522954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692576000000",
"number": "1689352866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6811 W PLEASANT LN",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853392660",
"telephone_number": "480-252-3484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 N CENTRAL AVE STE 183",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850123616",
"telephone_number": "480-252-3484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAYLIGHT PSYCHIATRIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-07",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A",
"authorized_official_last_name": "KONYI KOMETA",
"authorized_official_first_name": "MARCUS",
"authorized_official_middle_name": "ERNEST",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "480-252-3484",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.