Individual provider Active NPI

Michael J. Fermo, M.D.

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1740256361
Registry record updated Nov 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
28317 Issued in AZ
Practice address
2545W Quail Ave
Phoenix, AZ 85027-2418
Phone
(480) 235-5579
Fax
(602) 368-1140
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2015

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 28317 AZ Primary

Addresses

Primary practice location

2545W Quail Ave
Phoenix, AZ 85027-2418

Mailing address

PO Box 5655
Glendale, AZ 85312-5655
Phone (480) 235-5579

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
I20040429001181 AZ Practitioner - Psychiatry 4082601000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uhs of Phoenix LLCGroup PAC ID 2264656701, 10 clinicians
Aurora Behavioral Health Systems, LLCGroup PAC ID 5698772887, 3 clinicians

Practice addresses (Care Compare)

2545 W Quail Ave
Phoenix, AZ 85027-2418
Phone (602) 455-5745

6015 W Peoria Ave
Glendale, AZ 85302-1213
Phone (623) 344-4400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28317AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Phoenix, LLC CurrentSince Feb 18, 2017 Accepting new patients
Az Psychiatry and Counseling, Inc Past Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients
Magellan Health Services of Arizona, Inc Past Accepting new patients
Psychiatry and Counseling Past Accepting new patients

Locations

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

Organizations & group practices 6

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447545600000",
    "number": "1740256361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5655",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853125655",
            "telephone_number": "480-235-5579",
            "fax_number": "602-368-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545W QUAIL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272418",
            "telephone_number": "480-235-5579",
            "fax_number": "602-368-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERMO",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2015-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "28317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.