Active NPI
Michael A. Dekker, D.O.
- Psychiatry Physician
- Scottsdale, AZ
National Provider Identifier
1790911246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 006406
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061842 | Medicaid | AZ |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006406 | AZ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dekker Medical Industrial | Psychiatry | Current | Accepting new patients |
| Dekker Medical Industrial PLLC | Addiction Psychiatry | Current | 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.
-
- Psychiatry Physician
- Scottsdale, AZ
- NPI 1023992518
-
- Addiction Psychiatry Physician
- Scottsdale, AZ
- NPI 1336028588
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.