Individual provider Active NPI

Mona Amini, M.D.

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1770710782
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R71529 Issued in AZ
Practice address
7600 N 15TH St Ste 100
Phoenix, AZ 85020-4330
Phone
(602) 704-2345
Fax
(602) 704-2399
NPI assigned
Jun 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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 R71529 AZ Primary

Addresses

Primary practice location

7600 N 15TH St Ste 100
Phoenix, AZ 85020-4330

Mailing address

1 N 1St St FL 7
Phoenix, AZ 85004-2357
Phone (602) 704-2345

Other practice location 1

2120 S McClintock Dr
Ste 105
Tempe, AZ 85282-2692
Phone (480) 804-0326

Other identifiers 1

IdentifierTypeStateIssuer
832044MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R71529AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Insights Psychiatric Medical Corporation Psychiatry Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mona.aminimd.p1@direct.lifewell.nextgenshare.com
  • Direct secure messaging: mona.amini.1@33079.direct.athenahealth.com

Organizations & group practices 1

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1770710782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N 1ST ST FL 7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042357",
            "telephone_number": "602-704-2345",
            "fax_number": "602-704-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 N 15TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204330",
            "telephone_number": "602-704-2345",
            "fax_number": "602-704-2399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 S McClintock Dr",
            "address_2": "Ste 105",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852822692",
            "country_code": "US",
            "telephone_number": "480-804-0326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMINI",
        "first_name": "MONA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "R71529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "832044",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.