Individual provider Active NPI

Marci Bastien, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1811304272
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP5721 Issued in AZ
Practice address
2355 E Camelback Rd Ste 625
Phoenix, AZ 85016-3458
Phone
(480) 626-7584
NPI assigned
Jul 17, 2014
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP5721 AZ Primary

Addresses

Primary practice location

2355 E Camelback Rd Ste 625
Phoenix, AZ 85016-3458

Mailing address

3003 N Central Ave
Suite 200
Phoenix, AZ 85012-2902
Phone (602) 685-6000

Other practice location 1

1501 N Gilbert Rd Ste 206
Gilbert, AZ 85234-2394
Phone (480) 626-7584

Other practice location 2

20950 N Tatum Blvd Ste 380
Phoenix, AZ 85050-4258
Phone (480) 626-7584

Other practice location 3

1860 N 95th Ln Ste 300
Phoenix, AZ 85037-5074
Phone (480) 626-7584

Other practice location 4

36457 N Gantzel Rd Ste 102
San Tan Valley, AZ 85140-7343
Phone (480) 626-7584

Other practice location 5

1111 S Stapley Dr
Mesa, AZ 85204-5059
Phone (602) 685-6000

Other practice location 6

4545 E Chandler Blvd Ste 308
Phoenix, AZ 85048-7646
Phone (480) 626-7584

Other identifiers 1

IdentifierTypeStateIssuer
930341MedicaidAZ

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170123000781 AZ Practitioner - Nurse Practitioner 8224343652 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity TMS Centers LLC CurrentSince Nov 20, 2025 Accepting new patients
Community Medical Services Arizona-Private, LLC Past Accepting new patients
Community Medical Services Arizona-Private, LLC PastSince Feb 1, 2021 Accepting new patients

Locations

1501 N Gilbert Rd
Ste 206
Gilbert, AZ 85234
Phone (480) 507-7767

2046 W Riverview Auto Dr
Ste 401
Mesa, AZ 85201

1860 N 95th Ln
Ste 300
Phoenix, AZ 85037

20950 N Tatum Blvd
Ste 380
Phoenix, AZ 85050
Phone (480) 389-1061

2355 E Camelback Rd
Ste 625
Phoenix, AZ 85016
Phone (480) 535-0363

4545 E Chandler Blvd
Ste 308
Phoenix, AZ 85048
Phone (480) 626-2024

36457 N Gantzel Rd
Ste 102
San Tan Valley, AZ 85140
Phone (480) 494-6622

3300 N Triumph Blvd
Ste 500
Lehi, UT 84043
Phone (801) 821-2333

Organizations & group practices 3

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": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1811304272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122902",
            "telephone_number": "602-685-6000",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 E CAMELBACK RD STE 625",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163458",
            "telephone_number": "480-626-7584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 N Gilbert Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342394",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20950 N Tatum Blvd Ste 380",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850504258",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1860 N 95th Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850375074",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36457 N Gantzel Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851407343",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 S Stapley Dr",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852045059",
            "country_code": "US",
            "telephone_number": "602-685-6000",
            "fax_number": "480-834-5703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4545 E Chandler Blvd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850487646",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASTIEN",
        "first_name": "MARCI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP5721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "930341",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.