Marilyn Pupo-Guillen, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

32265 Issued in AZ

Practice address

11333 N Scottsdale Rd
Suite 280
Scottsdale, AZ 85254-5185

Phone

(480) 367-1500

Fax

(480) 367-1501

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Jewish Family & Children's Service

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1023174455
  Medicare reassignment NPD
• Jewish Family & Children's Service

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1609939214
  NPD
• Jewish Family & Children's Service

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1801103841
  NPD
• Central Nervous System Center, P L L C

  • Child & Adolescent Psychiatry Physician
  • Scottsdale, AZ
  • NPI 1912591462
  NPD (past)
• Norine Smiley PHD PC

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1659447506
  NPD (past)
• Touchstone Behavioral Health

  dba Touchstone Health Services

  • Community/Behavioral Health Agency
  • Avondale, AZ
  • NPI 1861855702
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1730254954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11333 N SCOTTSDALE RD",
            "address_2": "SUITE 280",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545185",
            "telephone_number": "480-367-1500",
            "fax_number": "480-367-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11333 N SCOTTSDALE RD",
            "address_2": "SUITE 280",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545185",
            "telephone_number": "480-367-1500",
            "fax_number": "480-367-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUPO-GUILLEN",
        "first_name": "MARILYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "32265",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "32265",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS PROVIDER ID",
            "identifier": "829939",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Child & Adolescent Psychiatry Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Child & Adolescent Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.