Active NPI
Platinum Psychiatry LLC
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1831908656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd Shorten, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Glendale, AZ
- NPI 1982064515
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.