Active NPI
Mona Amini, M.D.
- Psychiatry Physician
- Phoenix, AZ
National Provider Identifier
1770710782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- R71529
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 832044 | Medicaid | AZ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| R71529 | AZ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insights Psychiatric Medical Corporation | Psychiatry | Past | Accepting new patients |
Interoperability endpoints
- mona.aminimd.p1@direct.lifewell.nextgenshare.com
- 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.
-
- Psychiatry Physician
- Roseville, CA
- NPI 1609554039
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.