Individual provider Active NPI

Michael A. Dekker, D.O.

  • Psychiatry Physician
  • Scottsdale, AZ
National Provider Identifier
1790911246
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
006406 Issued in AZ
Practice address
14256 N Northsight Blvd Ste 110
Scottsdale, AZ 85260-3954
Phone
(480) 561-0141
Fax
(602) 429-8447
NPI assigned
Jun 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 006406 AZ
Psychiatry Physician 2084P0800X 006406 AZ Primary

Addresses

Primary practice location

14256 N Northsight Blvd Ste 110
Scottsdale, AZ 85260-3954

Mailing address

1923 E Hazelwood St
Phoenix, AZ 85016-4614
Phone (954) 319-8579

Other identifiers 1

IdentifierTypeStateIssuer
061842MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006406AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dekker Medical Industrial Psychiatry CurrentSince Aug 10, 2025 Accepting new patients
Dekker Medical Industrial PLLC Addiction Psychiatry CurrentSince Sep 8, 2025 Accepting new patients

Locations

14256 N Northsight Blvd
Ste 110
Scottsdale, AZ 85260
Phone (480) 561-0141

Organizations & group practices 2

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1790911246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 E HAZELWOOD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164614",
            "telephone_number": "954-319-8579",
            "fax_number": "602-429-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14256 N NORTHSIGHT BLVD STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603954",
            "telephone_number": "480-561-0141",
            "fax_number": "602-429-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKKER",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "AZ",
            "license": "006406",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "006406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061842",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.