Individual provider Active NPI

Pallavi Joshi

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1750765442
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
65592 Issued in CT
Practice address
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone
(602) 839-2000
NPI assigned
Jul 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS19510 FL
Psychiatry Physician 2084P0800X 65592 CT Primary

Addresses

Primary practice location

1111 E McDowell Rd
Phoenix, AZ 85006-2612

Mailing address

300 George St
New Haven, CT 06511-6624
Phone (914) 217-4054

Other practice location 1

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone (239) 208-2212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201112002882 RI Practitioner - Psychiatry 1759626260 Reassigns benefits to 1 organization
I20210824002750 AZ Practitioner - Neurology 1759626260 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner - University Physician Specialists LLCGroup PAC ID 5991008054, 343 clinicians
Banner Alzheimers InstituteGroup PAC ID 8527070101, 30 clinicians

Practice addresses (Care Compare)

1300 N 12TH St
Suite 320
Phoenix, AZ 85006-2858
Phone (602) 839-6800

901 E Willetta St
1St Floor
Phoenix, AZ 85006-2727
Phone (602) 839-6901

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
71.03
Promoting interoperability
99
Improvement activities
40
Cost
80.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS19510FLMDPsychiatry Physician
009087AZMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Physician Specialists LLC CurrentSince Jun 14, 2024 Accepting new patients
RX Neuroscience Psychiatry CurrentSince Jan 24, 2023 Accepting new patients
Banner Alzheimer'S Institute Psychiatry CurrentSince Jul 1, 2021 Accepting new patients
Banner Alzheimer'S Institute Psychiatry CurrentSince Jul 1, 2021 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Jun 14, 2024 Accepting new patients
TS Telepsychiatry PLLC Psychiatry CurrentSince Jan 24, 2023 Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients

Locations

1300 N 12th St
Ste 320
Phoenix, AZ 85006
Phone (602) 521-3050

901 E Willetta St
Fl 3
Phoenix, AZ 85006
Phone (602) 239-6900

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

10810 N Tatum Blvd
Ste 102309
Phoenix, AZ 85028
Phone (213) 788-8990

901 E Willetta St
Fl 1
Phoenix, AZ 85006
Phone (602) 839-6901

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

901 E Willetta St
Phoenix, AZ 85006
Phone (602) 839-6900

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: pallavi.joshi.1@30710.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1750765442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GEORGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116624",
            "telephone_number": "914-217-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062612",
            "telephone_number": "602-839-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11215 Metro Pkwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339661206",
            "country_code": "US",
            "telephone_number": "239-208-2212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "PALLAVI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS19510",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "65592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.