Active NPI
Michael Depasquale, MD
- Psychiatry Physician
- Sun City West, AZ
National Provider Identifier
1740913128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- T-4581
- Practice address
- 14502 W Meeker Blvd
Sun City West, AZ 85375-5282 - Phone
- (623) 524-4000
- NPI assigned
- Jul 5, 2022
- 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 | T-4581 | MS | Primary |
Addresses
Primary practice location
14502 W Meeker Blvd
Sun City West, AZ 85375-5282
Mailing address
14502 W Meeker Blvd
Sun City West, AZ 85375-5282
Phone (623) 524-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- 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
- Internal Medicine
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11150 Hwy 49
Gulfport, MS 39503-4110
Phone (228) 831-1700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-4581 | MS | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TBD Acquisition II LLC | Current | Accepting new patients | |
| TBD Acquisition II, LLC | Current | Accepting new patients |
Locations
11150 Highway 49
Gulfport, MS 39503
Phone (228) 575-1000
Organizations & group practices 2
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
- Gulfport, MS
- NPI 1750891792
-
- Clinical Social Worker
- Gulfport, MS
- NPI 1003324419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1740913128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14502 W MEEKER BLVD",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853755282",
"telephone_number": "623-524-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14502 W MEEKER BLVD",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853755282",
"telephone_number": "623-524-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPASQUALE",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-05",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MS",
"license": "T-4581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City West, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.