Individual provider Active NPI

Antonio L Carr, M.D.

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1801818349
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
33489 Issued in AZ
Practice address
444 N 44TH St
#400
Phoenix, AZ 85008-7624
Phone
(602) 685-3846
Fax
(602) 685-3808
NPI assigned
Jul 24, 2006
Last updated
Dec 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 33489 AZ Primary

Addresses

Primary practice location

444 N 44TH St
#400
Phoenix, AZ 85008-7624

Mailing address

444 N 44TH St
#400
Phoenix, AZ 85008-7624
Phone (602) 685-3846

Other identifiers 1

IdentifierTypeStateIssuer
974883MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060119000676 AZ Practitioner - Psychiatry 3476577289 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arizona College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

625 N Plaza Dr
Apache Junction, AZ 85120-5501
Phone (480) 983-0065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33489AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connectionsaz, LLC CurrentSince Mar 27, 2011 Accepting new patients
Aurora Behavioral Health Systems, LLC Current Accepting new patients
Aurora Behavioral Health Systems, LLC CurrentSince Sep 5, 2010 Accepting new patients
Connectionsaz, LLC CurrentSince Mar 27, 2011 Accepting new patients
Magellan Health Services of Arizona, Inc Past Accepting new patients
Horizon Health and Wellness, Inc. Psychiatry Past Accepting new patients
Horizon Health & Wellness, Inc. Past Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients

Locations

6015 W Peoria Ave
Glendale, AZ 85302
Phone (480) 345-5420

1201 S 7th Ave
Ste 150
Phoenix, AZ 85007
Phone (602) 253-5100

903 N 2nd St
Phoenix, AZ 85004
Phone (602) 253-5100

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1801818349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N 44TH ST",
            "address_2": "#400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087624",
            "telephone_number": "602-685-3846",
            "fax_number": "602-685-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N 44TH ST",
            "address_2": "#400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087624",
            "telephone_number": "602-685-3846",
            "fax_number": "602-685-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "ANTONIO",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "33489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "974883",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.