Pedram Amani, MD, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

50841 Issued in AZ

Legal business name

PEDRAM AMANI, MD, PLLC

Practice address

6015 W Peoria Ave
Glendale, AZ 85302-1213

Phone

(623) 344-4400

NPI assigned

Jan 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Pedram Amani, MDNPI 1174814594

Title

Owner

Phone

(623) 308-2472

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pedram E Amani, M.D.

  • Psychiatry Physician
  • Scottsdale, AZ
  • NPI 1174814594
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1730624693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14747 N NORTHSIGHT BLVD",
            "address_2": "SUITE 111-200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 W PEORIA AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021213",
            "telephone_number": "623-344-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRAM AMANI, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "AMANI",
        "authorized_official_first_name": "PEDRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-308-2472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "50841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120431",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Peckham, PHARMD
• Maria T. Pedersen
• Pediatric Orthotics and Mobility Institute
• Pediatric Sedation of Arizona
• Pediatric Therapy Specialists
• Angel Pedraza
• James Frederick Pehoushek, MD MPH
• Jacob Ty Pehrson, LAC
• Ty J. Pehrson, M.O.T.
• Jo Ann Pellini, M.S. CCC-SLP

• Psychiatry Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.

Verify at the official NPI Registry.