Department of Veterans Affairs

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

LP045618 Issued in AZ

Legal business name

DEPARTMENT OF VETERANS AFFAIRS

Practice address

2349 W Shaw Butte Dr
Phoenix, AZ 85029-3434

Phone

(602) 435-6384

NPI assigned

Jul 31, 2012

Last updated

Jul 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary Hankins

Title

Medical Staff Specialist

Phone

(602) 277-5551

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1770839540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 W SHAW BUTTE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293434",
            "telephone_number": "602-435-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 W SHAW BUTTE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293434",
            "telephone_number": "602-435-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "HANKINS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MEDICAL STAFF SPECIALIST",
        "authorized_official_telephone_number": "602-277-5551"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "AZ",
            "license": "LP045618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle C Depalma
• Departament of Veterans Affairs
• Department of Economic Security
• Department of Veteran Affairs
• Department of Veterans Affairs
• Samantha Depasquale
• Dependable Home Health of Phoenix LLC
• Dependable Hospice and Palliative Care LLC
• Dependable Medical Transport Services, LLC (D M T S)
• Dependable Nurses

• Psychiatric Hospital in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.