Neurostim TMS Arizona PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

NEUROSTIM TMS ARIZONA PC

Practice address

6991 E Camelback Rd Ste D300
Scottsdale, AZ 85251-2492

Phone

(480) 391-3500

NPI assigned

Apr 10, 2024

Organization subpart

No

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

Authorized official

Name

Rebecca Alba

Title

Operations Manager

Phone

(360) 208-2765

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 4

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

• Nicole Santoro, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1982478400
  Medicare reassignment Care Compare group NPD
• Amit Mohan, MD

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1821219841

  AZ

  Medicare reassignment Care Compare group NPD
• Tracie Ross, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Eugene, OR
  • NPI 1669016093

  AZ

  Medicare reassignment Care Compare group NPD
• Brooke Rae Marino, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
  • NPI 1588447452
  NPD (past)

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1750134425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9116 GRAVELLY LAKE DR SW STE 102",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993148",
            "telephone_number": "253-200-5763",
            "fax_number": "253-590-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6991 E CAMELBACK RD STE D300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512492",
            "telephone_number": "480-391-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSTIM TMS ARIZONA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "ALBA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "360-208-2765"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurowest Iom LLC
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• Neushape LLC
• Nevada Urgent Care Provider Network, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.