John Forrest Prater, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

007409 Issued in AZ

Practice address

3101 E Shea Blvd Ste 220
Phoenix, AZ 85028-3209

Phone

(602) 795-1834

Fax

(602) 795-2608

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1801014378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 E SHEA BLVD STE 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283209",
            "telephone_number": "602-795-1834",
            "fax_number": "602-795-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 E SHEA BLVD STE 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283209",
            "telephone_number": "602-795-1834",
            "fax_number": "602-795-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "JOHN",
        "middle_name": "FORREST",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "FL",
            "license": "OS4879",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "007409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Prasad, MD
• Jan Prasad, MD
• Varsha Prasad
• Vikram Prasad, M.D.
• Priya Prasher, M.D.
• Krishnapriya Marangattu Prathapan, M.D.
• Prats Care Home L.L.C.
• Prats Residential Behavioral Health Agency II
• Prats Residential Behavioral Health Agency III
• Prats Residential Behavioral Health Agency IV

• Psychiatry Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.