Agave Psychiatry PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

AGAVE PSYCHIATRY PLLC

Practice address

20118 N 67TH Ave Ste 300-609
Glendale, AZ 85308-4621

Phone

(602) 857-8182

Fax

(602) 585-0788

NPI assigned

Apr 9, 2020

Last updated

Feb 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Aaron Kramer, DONPI 1558715490

Title

Member

Phone

(602) 857-8182

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron Kramer, D.O.

  • Psychiatry Physician
  • Glendale, AZ
  • NPI 1558715490
  NPD Authorized official
• April Keller, NURSE PRACTITIONER

  • Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1285224477

  Single Specialty

  NPD (past)
• Stephen Mecham, DO

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1083068050
  NPD (past)
• Amanda Stein, PA

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1972100949
  NPD (past)

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1831718915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20118 N 67TH AVE STE 300-609",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084621",
            "telephone_number": "602-857-8182",
            "fax_number": "602-585-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20118 N 67TH AVE STE 300-609",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084621",
            "telephone_number": "602-857-8182",
            "fax_number": "602-585-0788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16841 N 31st Ave Ste 170",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850533080",
            "country_code": "US",
            "telephone_number": "602-521-3611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AGAVE PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-857-8182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agape Non-Emergency Medical Transportation LLC
• Agape Therapy, LLC
• Parul Agarwal, M.D.
• Ravi P Agarwal, MD
• Sudhir P Agarwal, MD
• Agh Laveen LLC (Dignity Health Arizona General Hospital Emergency Room)
• Agh Laveen LLC (Dignity Health Arizona General Hospital Emergency Room)
• Mahsa Agha Jafari, DPM
• Azriella Aguilar
• Johmer Aguilar

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.