Active NPI
Michael J. Fermo, M.D.
- Psychiatry Physician
- Phoenix, AZ
National Provider Identifier
1740256361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 28317
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28317 | AZ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs of Phoenix, LLC | Current | 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.
-
- Psychiatric Hospital
- Phoenix, AZ
- NPI 1740604636
-
- Psychiatric Hospital
- Glendale, AZ
- NPI 1730388349
-
- Cognitive & Behavioral Psychologist
- Tempe, AZ
- NPI 1922354414
-
- Case Management Agency
- Gilbert, AZ
- NPI 1194965145
-
- Community/Behavioral Health Agency
- Tempe, AZ
- NPI 1205018900
-
- Clinical Medical Laboratory
- Glendale, AZ
- NPI 1447458682
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.