Organization Active NPI

Platinum Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1831908656
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PLATINUM PSYCHIATRY LLC
Practice address
16421 N Tatum Blvd Ste 124
Phoenix, AZ 85032-3455
Phone
(602) 730-6422
NPI assigned
Jan 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Todd Shorten, NPNPI 1982064515
Title
Owner
Phone
(503) 724-9102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

16421 N Tatum Blvd Ste 124
Phoenix, AZ 85032-3455

Mailing address

16421 N Tatum Blvd Ste 124
Phoenix, AZ 85032-3455
Phone (602) 730-6422

Other names 1

  • Platinum Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

16421 N Tatum Blvd
Ste 124
Phoenix, AZ 85032
Phone (602) 730-6422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1831908656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16421 N TATUM BLVD STE 124",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323455",
            "telephone_number": "602-730-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16421 N TATUM BLVD STE 124",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323455",
            "telephone_number": "602-730-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "SHORTEN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-724-9102",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.